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Hey Warren, I'm presuming because they would only look at fixing the opening if they did feel it was contributing to the pain and other issues I'm having 'downstream'. This would not be a true revision in the sense of reducing the size of the pouch. My insurance company also only pays for 1 bariatric surgery in your 'lifetime'. They would only pass for the revision of opening if it were medically necessitated, and they would not consider 'failure to lose weight' or a 'weight regain' as medically necessary. My GI wanted me to talk to the bariatric surgeon who specializes in revisions. The surgeon does not think what is happening to me is 'dumping due to widened opening'. He said it doesn't sound like dumping to him and if that happened to everyone whose opening widened, everyone would be having "dumping" issues after a couple of years. He did point out that both the upper and lower GI I had done do not look at the inside of the pouch so if there is a hernia that is causing the on again/off again pain and on rare occasions bleeding (looks like coffee grounds), then the GI doctor would not know as they never 'scope' the pouch for a routine upper/lower GI. He also indicated that depending on the scope size a GI doctor uses, it doesn't go through every single space that we have (due to us having been um "modified"?) so it would take a doctor who uses an extra long scope. That last part I must confess I do not understand at all. He does have me scheduled right now for a laparoscopic investigatory procedure to take a look inside my pouch and see if there is scar tissue or a hernia that needs to be addressed. He also gave me prescription acid reflux meds and said if i got better after 'taking' them, I could cancel the procedure in 2 weeks. What he fails to understand and I've tried telling his office, I can go a month with no pain. Then I go back to back days in extreme pain. Have not been able to tie it to specific food, time of day I'm eating, etc. My right side starts with a stabby/cramping pain (closest I can compare if it feels like the pain I used to get when I ovulated or that 'stitch in your side' type feeling. It often goes downhill from there. I have tried to get it figured out now for 2 years but taking ANY medicine and 'not having an episode in the next 2 weeks' does NOT give me a definitive answer as I do not have this pain all the time, it is just enough to be frustrating and has lasted LONG enough to be concerning. The 'coffee ground' type bleeding that I have observed is one and off for the past 3 months (maybe it started a while ago but now I know what to 'look for'. I don't like going under anesthesia but I'm probably going to keep that procedure scheduled as I have no guarantee that ANY medicine given for the next 2 weeks has 'fixed' any issue. I wonder if anyone else has ever had their opening revised but not their pouch out of curiosity.

Ooh I’m so glad to hear you have some guidance now that makes you feel confident that you are doing what’s expected of you. That makes all the difference in this journey I am doing really well. Tonight is my first in person support group meeting and I will be three weeks tomorrow. I feel like I have a pretty good handle on the purée diet now and i get to move to soft foods on Monday. That’s a little more scary for me with being a revision that didn’t not involve them operating on my stomach because I do not have the feeling of that was not a good call like the rest of you do to slow me down. Yet at the same time my intestines still need time to heal so I’ve got to be disciplined and return to food slowly. I am pretty anxious so I may end up getting there a little slower than the rest of you but I guess that’s better than too quickly.

As the title says, I had my 6 month labs done a few weeks back (I'll be at 6 months post op Feb 21) and my 6 month check in is next week. My question is this; has anyone's lab come back hyper-hydrated? I told the dietician who called with the results (she wasn't aware my app was next week) there is no way I could be over hydrated I seldom meet my water goals much less go way over it. She said it was beyond her knowledge. I was told my white blood count was elevated as well along with my iron being too high. She told me to cut back to 18mg iron opposed to the 45mgs I was taking. The dietician never commented on my other labs so I'll have to wait for those. I'm concerned because my 6 month is with the dietician and if its beyond her she won't know. Anyone else have odd labs like this? Hyper (over) hydrated yet not drinking enough to do this? Is leukocytosis normal as well, seems my WBC's are always higher.. Although it could be my albuterol which can cause elevated white blood cells sometimes. I'm impatient and thought I'd ask here.. Unfortunately, everything I read isn't good - stupid internet but, I'm hoping its WLS related. So I thought I'd ask the experts - you! I know you aren't doctors, but you've been through WLS and know things sometimes WL clinics don't or just don't think to share. Thanks for answering!

I have a feeding tube currently. I had surgery 6/13/24 for revision to RNY. I had 2 emergency surgeries 3 days later. I had a leak and had 7liters of toxic fluids cleaned out of me then ICU 6 days and hospital until the end of July. It has been 10 months + with wound vac, Gtube, and now a stricture that I've had 3 balloon procedures and still not halfway there. Total of 6 hospital stays, 4 ER visits, 7 surgeries since June 2023. I'm getting better. Feeding tube helps but also causes alot of pain and granulated tissue which has to be burned off. I have found 4 people who have talked about the same issues. A leak like this and a stricture is very uncommon. Most people with leaks end up dying. It's why you don't hear about them. I'm not sure why anyone would require a feeding tube other than a major stricture or leak. Maybe due to already having so much scar tissue. They think that is why I had a leak but nobody knows. For reference. I had lapband 2008. Lapband Removal 2019 due to Gerd. RNY 2023. I was 238lbs 5'6 at the time. I'm 170 now.

I did the Hello Fresh and it saved a trip to the grocery and they add a little variety to your menu but there is still a lot of prep In my opinion. They send you like one carrot and one small onion, etc. Whatever is needed but you still have to cut it and do all that. I would Rather just do grocery pickup and get exactly what I want if I have to cook. Pre surgery I wanted to see what the post op diet would eventually be like post SADI and I did the factor 75 low carb meals for a while. They are not cheap but they were really good and of course super convenient, cheaper than ordering in and actually healthy. They are fully prepared and refrigerated not frozen so they retain the flavor. For a family they will actually be a little more economical because the bigger the box the cheaper they are. Plus it’s a way for everyone to get something they actually like. Some people don’t like splurging on food but we all have our priorities. I like to think of food as just as important as medicine because eating right now Is preventative medicine. If having those meals will help keep you on track and budget permits then by all means go for it!! I ended up doing a bigger box plan to start and then reduced my plan because you get like 50% off or something like that for the first order. Of course they are perishable so no more than you can eat. I just had them for all three meals a day for the week so I could try several and then cancel if I didn’t like it. Keep in mind that some of them say they are good less than a week so when you get them eat those first. I just set reminders in my calendar for when to order or skip and when to cancel if I wanted to. Because they will send it automatically and you get stuck paying for options you don’t even get to choose.

Just about to fly home and will anwser everyones posts then. Thanks all for your support and words and suggestions. Loving the new profile picture @NickelChip and @RonHall908 What an amazing transformation! Here are some of me, pick tracksuit is 2 weeks post surgery, brown dress is yesterday.

If you've been losing steadily up until now, you are probably due for a stall. I had one after 1 month of surgery that lasted 5 weeks. During those weeks I gained and lost the same 2-4 lbs. The gains really freaked me out! But as others have said, it is probably water weight, especially if nothing has changed in your routine. Our bodies need time to recalibrate from the rapid weight loss and yours has lost a LOT of weight in a short time, so this may be it rebalancing. That often involves changes in fluid levels, which reflect in the scale. Maybe skip weighing for a week or two to give it a chance to settle down? Caloric intake is very individualized and not all doctors agree that it is important... I don't track calories at all due to my malabsorption, I track macros. But each team has their own thing they like tracking. It seems like you have a good relationship with your team and they are generally happy with your progress. So I'd give it two weeks and if you continue to gain throughout that, then it might be worth a talk with them. My stall broke a week after I increased my steps. I don't know if that was coincidence or had something to do with it, usually the advice is to steady on during a stall as changing things up causes the body to sometimes take longer to adjust... Good luck!!

For those who don’t have a support group the Baritastic app has a virtual support group. I just got a message that it’s tomorrow. I haven’t tried it but once you have the app you will get the message (probably for next month if I had to guess) you just have to click the link to register. The app is pretty awesome once you figure it out too. I am able to log eberything and see trends and my NP was really glad I had used it and was able to show her all my macros a week at a time at a glance. You can even log your moods and bowel movements. 😂 It takes a little while to figure out how to create recipes and log them but once you do you just select one serving or a half second at this point and it calculates it all for you. This works wonderfully with the stuff I made extra of and have frozen. Plus once I have added the majority of my recipes it already in there and I don’t have to log it again.

I can't speak to somee of the other things you mentioned, but as far as BM's go, it's pretty common for it to take a week for your first one post-surgery. Not much in there...

My surgery is scheduled for the 27th. I am on day 3 of my liquid diet and boy am I struggling. It's very hard to break old habits of just snacking but even now on the liquid diet I want a healthy snack but unable to have it. I think it's the chewing sensation I miss. I am able to have one health meal a day and usually have protein shakes for the other meals. (breakfast and lunch) I try to save my healthy meal for dinner so I can eat with my family but with being on summer vacation it has been hard to not want to just snack all day. I have been going back and forth if this is something I should followed through with as I will not be able to enjoy the things I used to after surgery. Maybe I'm over thinking and it's just nerves for the post op life.

I had my surgery on April 1st. The 1st week was tough but each day gets easier! I’m ready to get out of the liquid stage.

I'm almost four weeks post gastric sleeve. I've lost 28 pounds, which I'm thrilled with. I've felt so good that I pulled some weeds in the front of my house yesterday. Today I have some abdominal pain. It's not horrible, but I'm worried I may have hurt my healing stomach. Should I be worried? No vomiting and I'm eating 1/2 cup of soft food as normal with no issues. Thanks for your help! 💕💕💕

I have a feeding tube currently. I had surgery 6/13/24 for revision to RNY. I had 2 emergency surgeries 3 days later. I had a leak and had 7liters of toxic fluids cleaned out of me then ICU 6 days and hospital until the end of July. It has been 10 months + with wound vac, Gtube, and now a stricture that I've had 3 balloon procedures and still not halfway there. Total of 6 hospital stays, 4 ER visits, 7 surgeries since June 2023. I'm getting better. Feeding tube helps but also causes alot of pain and granulated tissue which has to be burned off. I have found 4 people who have talked about the same issues. A leak like this and a stricture is very uncommon. Most people with leaks end up dying. It's why you don't hear about them. I'm not sure why anyone would require a feeding tube other than a major stricture or leak. Maybe due to already having so much scar tissue. They think that is why I had a leak but nobody knows. For reference. I had lapband 2008. Lapband Removal 2019 due to Gerd. RNY 2023. I was 238lbs 5'6 at the time. I'm 170 now.

I guess I have always done everything I have wanted because I was never overweight until 5 years ago. But the things I have noticed NOW (never noticed before WLS): - I don't need to sit as often, I can stand for long periods and don't get the urge to find a seat. - My feet don't hurt walking so much. I was traveling the past two weeks and we walked A LOT! Every time we traveled the past few years my feet would kill me, this time was a breeze. Things I started: - I took up Pilates. I have a bad foot (sports) injury that caused my weight gain so always had a fear of doing Pilates although I consistently worked out my whole life but was nervous to take up Pilates for some reason. Now my two Pilates classes are literally the highlight of my week. - I look forward to weddings and gatherings where I avoided them like the plague and they used to cause me social anxiety and made me feel so down about my body. - Changing my wardrobe LOL, I am shopping like nobody's business. I am buying stuff I never would've bought the past few years. Lingerie, crop tops, shorts, short dresses, workout gear. You name it! - Weighing myself regularly. Was never a weigher even at my fittest and slimmest, and that's probably was what caused all the weight gain because I refused to face reality. Things I see myself doing in the future: - Probably getting some lip filler LOL. - Having my third child (maybe? I put it off because I was overweight and I couldn't fathom gaining more weight) - Getting my foot surgery (although it feels much better so I will need to reassess).

I have learned to deflect. - Aw thanks, I had a coat like that in the 60's Aw thanks, do you know you have something stuck in your teeth ? Aw thanks, I really wanted to say, did I see your husband/ wife at that charity singles dance last week ? He really is a good dancer. Aw thanks, Did you cut your own hair ? Aw thanks, I really needed a laugh today, I love it when people have been gossiping about me. I wonder who they are leaving alone today ?

I just had surgery right after new year's and I haven't told any of my family yet. I typically see them about once a month and call/text at least 3+ times a week. I'm not sure if it's because I wore pullovers and pants, but they haven't noticed anything different. On the other hand, my boyfriend knows I had surgery, sees me everyday, and tells me how much/what changed all the time. His co-workers also know (I see them a few times a yr) and they said they could hardly recognize me. I don't know what to make of this... I'm about 2 months post op and down about 45lbs. Personally I can see a noticeable difference from my waist down, but I think other than that I look about the same. Although shirts are fitting me a bit different. So I was wondering, who was the first to notice any changes after your surgery and who was the last?

@SleeveToBypass2023 Thank you! I have made the decision not to weigh myself for the 4 weeks that I am on my post-op diet, just because I don't want to get fixated when my body is still learning this new way of living! I am definitely struggling to get food in at the moment! But I shall keep trying! ❤️

@SleeveToBypass2023you do make me laugh! I’m so glad that you’re able to understand your ‘godmother’ now, I feel I have rendered a valuable service 😉 Of course, there are always the joys of accents and drawls to throw in to this mix as well, which can add even more confusion. I’m a Yorkshire girl so we do have our own way of saying things, just like you will with your Southern sayings! And I’m so glad I’m not the only bitter wife out there…yes, I love him dearly but oh, there are times when I want to smother him with a pillow when he’s asleep 😈 I remember when we’d come back from our 2 week holiday in September last year and he was bitching that he’d put a couple of pounds on, whereas I had put on over a stone (14lbs) and I honestly wanted to stab him. He is supportive though, plus he has taken time off work to take me to all my hospital appointments etc as I still can’t bend my knees enough to climb in the van to drive myself but I will get there. Hopefully I will feel more able in a few more weeks 🤞 I rescued a pair of Billabong shorts from the charity shop bag yesterday as something for me to aim for on my WLS journey. I’d last worn them when I’d lost a load of weight previously and had worn them on holiday. Even now I cannot believe that I fit in to them. I tried them this morning and I cannot even get them halfway up my thighs, never mind anywhere else! I think I need to lose an additional 100lbs or so to have any chance of getting them on but stranger things have happened I guess 🤷‍♀️ I do generally use clothing as my inspiration to aim for, so I guess these are the ultimate goal!!

Thank you for the advice! It's weird, a day or 2 after I last replied, the random nausea and intense abdominal pain practically disappeared on its own. Of course now I've been fighting with trying not to eat so fast I make myself sick and getting tired of eating the same thing over and over. Do you actually weigh out your food? I'm avoiding that because it reminds me of all the failed attempts at dieting. I doubt I'm hitting my protein and water goals still, but it's been an improvement from the past 6 weeks. You have to stay positive right? Do you actually eat 3 meals or at specific times? I'm still trying to recognize my body cues on that.

The thing that scares me about staying away from the scale. Is that I did that while I was 300lbs because if I didn't know my weight then I wasn't gaining so it didn't matter, I am a size 4 right now which is INSANE, so I really couldn't imagine myself losing anymore weight anyways but I was hoping for the last 2.4lbs dang nabbit! I am not mentally prepared for the scale to go up let alone 4lbs in less than a week. Thank you so much for the words, it has helped. I know it cannot be me. Its just really disheartening to see it going up almost every day

Congratulations! The first few weeks are hard. Everything is so new, and no matter how much you've read up and know the facts, the reality is enough to make you question yourself all the time. But it does get easier! And even when you make mistakes, it's not the end of the world. Use this recovery time to rest and start good habits and you'll do well!

For me, I live on 1100 - 1200 calories on non work out days and 1300-1400 on workout days. On my weight training day, I tend to go up to 1500 calories. I work out 5 days per week. I also have 2 rest days. My protein, fluid intake, carbs, healthy fats, and calories are all higher on workout days, but I still can't get anywhere NEAR 2100 per day. 1500 is really pushing it, but I only do heavy weight training once per week, so it's ok. For quite a while, my calories on non workout days were 800-900 or so and workout days were 1100-1300, depending on what workouts I was doing that day. As time has gone on, my calorie and food intake has increased, but I still stick to the rule that I eat until I'm not hungry anymore, not until I'm stuffed. It's normal for our stomachs to hold a little more and our calories to increase as time goes by. What's important is to be selective with where those calories and carbs come from, not to overeat, and to be mindful of moving your body and getting in enough fluids.

it's very common in the weeks or months AFTER surgery have unusual periods. Haven't heard about before - but the reason for having weird cycles after is due to estrogen being released from fat cells during rapid weight loss (estrogen is stored in fat cells) - so that might be what's going on with you now...

I have my referral from my PCM here in Texas and my consultation with my surgeon is next week. I need a hernia repair, I have GERD with esophagitis, and mild sleep apnea. My last EDG was two months ago. Will I be required to redo all these tests? Or will the surgeon’s office just request my medical files from my other docs? thank you!