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@Ukalliq any tips or tricks for the post op life with the DS that should be applicable to SADI as well. I am set for surgery Wednesday. I have already had the sleeve surgery but most of the people on the thread are pending virgin SADI surgeries. I am starting to get nervous again. I keep vacillating from excited to nervous and back again.

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16 minutes ago, ShoppGirl said:

@Ukalliq any tips or tricks for the post op life with the DS that should be applicable to SADI as well.

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest.

Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated.

My doctors gave me a three week eating plan to follow one week each of Clear Liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times.

Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then.

My Iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult Multivitamin per day, no special bariatric formula (don't tell the admins!).

Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests).

Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully.

My only regret is that I didn't do it 15 years earlier.

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56 minutes ago, Ukalliq said:

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest.

Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated.

My doctors gave me a three week eating plan to follow one week each of Clear Liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times.

Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then.

My Iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra Iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult Multivitamin per day, no special bariatric formula (don't tell the admins!).

Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests).

Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully.

My only regret is that I didn't do it 15 years earlier.

Wow. Congratulations on your loss and thank you for your thoughtful response.

I had a pretty easy recovery with my sleeve too. Same surgeon so fingers crossed that I don’t have the gas pain this time either. I think my return to eating plan is a little longer than yours but thats probably better for me to lose a little more early since my stomach won’t be as small as virgin surgeries.

i am so glad to hear that you can eat what you did before. I know we aren’t supposed ti have certain things but sometimes you truly can’t avoid it. I had a nutritionist tell me that if I ate certain things post SADI that I may as well take it to the bathroom with me to eat because that’s where I’m going to need to be.

I have already had to explain the surgery to my primary provider. I plan to ask the surfer in before I leave hosptial if he knows anyone familiar with the surgery. Im glad to hear it wasn’t just her though to be honest.

Omg That tote idea is so clever. So simple yet somehow I didn’t think of it before. Thanks again and keep us updated with your continued progress.

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On 8/2/2024 at 1:59 AM, BariatricBunnyBabe said:

I had the SADI-S on June 14, 2024. Tomorrow (Aug 2) is my 7 week post op day. I was 278 when I started my liquid diet. I was 268 on surgery day. I was 275 directly after the surgery. Last week I was 238 and I had a combined inches lost of 31. I have been experiencing a stall for a few weeks. I’ll lose some and gain some but it’s the same 3 pounds. As such I’ve been trying to get more movement into my life. I’m eating, at the advice of my surgeon, in a trial and error way. He wants me to be able to eat normal foods as it is easier to get to your Protein goals. I haven’t eaten bread, sugar, Pasta, or potatoes. I probably won’t go back to those foods.

The pain feels like you went hard on Abs day. It was pretty much gone after 3 weeks. Eating too much (even by a single bite) or drinking too soon after a meal hurts worse than after the surgery. If you feel full and you think it’s too soon, take a break then pick it back up. You’ll be able to get it down eventually. Your anastomosis will be swollen (the link between your stomach and intestines) so there’s a bit of backing up before it goes down. I found shaking my stomach helps the food/liquid go down.

Get good with your food being cold. Even if it’s hot when you start eating, you can’t eat it fast enough for it to stay warm. This has been the worst change for me besides the smell of my 💩.

Work on finding low fat/non fat substitutes for cheese, dairy, etc. sugar free substitutes for drinks can help get Water in. I like G Zero and the added electrolytes are helpful.

Track your food in an app. Weight/measure everything. Avoid “eating out” even if you can find reasonable foods to eat, it’s impossible to know your macros when you’re only eating small bits of meals and maybe removing bread etc. I only have been out once and that was two days ago. I ate a few bites off my husband’s plate. I kept looking at everyone’s full plates and thinking about how I would have eaten all of that and still been hungry.

You will be exhausted from lack of food and energy. However force yourself to at least walk laps around your home.
Only weigh once a week. I had my husband hide my scale. It was pissing me off that my weight was fluctuating. You will see more movement in measurements than you see on the scale. Try not to fixate on the numbers and remember not to compare yourself to others. People with more to lose will be losing faster than you. Some will not follow a good diet and lose very slowly. Let your doctor guide you on follow ups. Trust the process.

Im new to this message board but feel free to reach out to me if you want. I’m on instagram as @BariatricBunnyBabe and TikTok as @Bariatric.Bunny and when I find things that work I post about them. I also share my wins and my weight loss stats.

SADI-S can 100% feel lonely but we’re out here doing the thing!

Hello there! First of all - congratulations! Your progress is so exciting - and additionally it is especially helpful for me to know to track my progress with measurements more than the scale. I've already been eyeballing it throughout my liquid diet. My surgery will be Monday morning, early - probably the first one of the day that my surgeon will be doing from what I was told. I'm trying not to be nervous about having missed a call on Friday from the hospital; I'm sure it was something about my pre-surgery check in but since I can't access my voicemail I don't know. I did get the pre-registration call the day before, though.

Honestly, all of the information that you have shared is incredibly useful and I'm so grateful for it. I'm a little nervous because I'm supposed to be a bridesmaid for a good friend's wedding on September 8th, only right at a month post-op. I may have to hop on Insta just to review your tips, even though I rarely use it. I'm curious as to whether you've found any good cheese substitutes because I do have a great love for cheese!

Thank you for taking the time to share about your experience with us!

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On 8/2/2024 at 6:00 PM, Ukalliq said:

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest.

Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated.

My doctors gave me a three week eating plan to follow one week each of Clear Liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times.

Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then.

My Iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra Iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult Multivitamin per day, no special bariatric formula (don't tell the admins!).

Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests).

Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully.

My only regret is that I didn't do it 15 years earlier.

Hello! Thank you for posting here as well! I'm scheduled to have my 'virgin SADI/sleeve' on Monday morning and I was SO happy to read your post so I could get a realistic idea of what my life will be like post-surgery. I hadn't gotten much feedback yet on what to expect after a couple of years and had only read that the malabsorption would diminish after 18 months. Your experience seems to match up with that pretty closely. I've got the same three week diet guidelines to follow post-op; do you remember any particular foods that gave you trouble as you were adjusting to life post-op initially? Or do you have any suggestions on what to start with in the soft food week? For the liquid diet I've almost entirely relied on shakes and a few helpings of sugar free Jello. Today I got some zero sugar yogurt and added that, and had a sugar free popsicle. I know that I'll have to be eating / drinking room temperature for at least the first week if I remember right.

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On 8/2/2024 at 8:22 AM, ShoppGirl said:

Congratulations on your loss and thank you for sharing your story thus far. I was 258 at my dr when I started my LSD 12 days ago and I was 244 on my home scale this morning with 4 days to go till surgery day although I think my scale is a few pounds below the dr so probably 11 pounds lost. Losing 30 pounds in 7 weeks post surgery is absolutely amazing!! I am so happy for you. I am a revision so I probably won’t be losing anywhere near that quickly after my revision but that’s okay. I didn’t gain it overnight either. As long as it does eventually comes off.. I will be thrilled. Okay, probably impatient at first, but eventually thrilled.

I almost forgot about cold food. I am 3.5 years post sleeve so I am able to eat at a fairly normal speed again and I absolutely hated that too. Whenever I was home I would microwave it over and over and over…. And one of my biggest fears are the bathroom ones. My surgeon’s NP says that so far diarrhea bas been the biggest complaint with his SADI patients with one having it so bad that it interferes with work. For all of them they say it resolved at about three months. I am usually near a bathroom and can make sure of it for 3 months but I am really concerned about the smell. I already bought poo pouri 🤣 Getting past just using a public restroom to go number two is going to be a challenge for me. I can count the number of times I have had to do that on one hand I think. Having it be noisy and smelly is going to make it even more mortifying. Hopefully it will be a small price to pay, though. 🤞

I literally just got up and put my measuring tape in the pile I have started for the hospital so I will remember to take measurements the night before surgery. I seen it posted so many times before and never did it. Always wished I had remembered that and to do photos more often. Just like now I’m wishing I had started before the LSD. Thanks for the reminder. There is so much to remember with all of this. Even the second time around it’s an adjustment if you are like me and let old habits slip back. (Please don’t be like me, anyone, so you don’t gain it back)

My sleeve portion is already done so they are not doing anything to my stomach. I can already eat a fairly normal sized portion so my issue shouldn’t be with getting food or liquids in a tiny pouch like most of you. It will more likely be that I will want more than my healing anastomosis will be able to handle so I will have to be very disciplined and eat the portions my dr sets for me. I am just hoping that I have some changes in my appetite still because this is gonna be like a really long pre op liquid diet for me that continues on throughout the purée and soft food stages if not. Aka not fun.

You are so smart to only weigh once a week. I wasn’t that self disciplined to put the scale away. I did only record it once a week with my sleeve though so I could see the downward trend more easily and looking at that helped quite a bit when I felt like that scale wasn’t budging. Which reminds me I need to start logging my weight again. And such a good reminder not to compare myself to others. That is going to be especially hard as a revision. He did say it should be faster than a bypass revision though. So maybe on a tad slower than the rest of you here. I hope.

Thank you again for sharing your experience. I hope to see updates of your continued progress and that the rest of us have as good of a handle on all of this as you seem to at 7 weeks post. Sounds like you are rocking this. Keep it up.

I added my measuring tape to the collection of items I'm gathering for the hospital when I read your post! It IS getting really close and I'm definitely feeling it. I did get pretty moody a couple of times this week, honestly. I don't know why, because I didn't really feel hungry but I did feel very reactionary and super sensitive. In fact, I was (and still am a little.. ) worried that it was PMS because I read that women who swiftly go on the type of liquid low carb / no sugar diet can have a change in their cycle. My brain immediately went "Oh Noooooo what if I have to deal with cramps on surgery day?!" So far I'm just crossing my fingers against that being the case, and hoping my body at LEAST waits a week!

It feels surreal for me because I haven't been apart from my fella hardly at all in the two years we've been together and I realized tonight is the last night for a few days that I'll get to sleep beside him. Because of travel and work he isn't going to be with me at the hospital but my Mom and good friend will. It's Saturday night and I'm scheduled to be at the hospital around 5am Monday! I head out of town tomorrow evening.

I'm holding strong on not smoking and plan to do my very best to maintain that post-op! I've already noticed, from not smoking and from the diet, my taste buds changing. The drink mix I used to really enjoy (A cheap one, surprisingly, zero sugar Hydrate in Grape flavor sold at Dollar General for like 1.20/6 flavor packs) now tastes kinda gunky. I'm not sure if it is because of all the shakes or just the lack of sugar/carbs. I find myself rinsing my mouth out a lot, especially after the shakes, and even though I'm drinking a lot of Water my throat still feels dry from time to time, especially at night.

I've started drinking my water plain or with a little lemon in it, which is especially nice when I drink it hot. I don't enjoy my coffee sweet or creamy anymore, either - it feels like 'too much'. Not that I have more than one cup, max, of caffeinated coffee per day - I even purchased a 3 in one coffee pot that takes loose leaf tea, pods, and regular coffee for the sake of my Mom and fella. I'm not entirely surprised at the change in taste buds seeing as when I quit drinking soda and would take a sip after a long time it would taste awful (especially any kind of dark colored soda).

Oh - and to follow up on the Colace; I do think my doctor's office made me start the colace with my liquid diet BECAUSE of all the Protein, especially in the shakes. I'm pretty sure those do slow your digestion; I've actually found myself taking an extra allowed laxative just because I want to be sure they have as much space to operate as possible and I feel like I've remained borderline constipated. My friend said that she didn't have a BM until 4 days post-op and they were concerned about that.

I keep editing this post realizing I forgot to add things -- I SO feel you on the use of public restrooms! I've always done pretty well to avoid having to go #2 at public places and what you described happening - noise, smell, makes me nervous. That's really the ONLY side effect of the SADI that I'm a little concerned about. So far I'm telling myself that since I've been running on the side of constipated it should be ok, especially if I am mindful with my diet. It was really cool to see a post here from someone 4 years post-SADI! That was very reassuring, about being able to eventually eat most of the same foods, but in moderation and in much smaller portions.

This might be my last update prior to surgery as tomorrow I plan to do last minute laundry and triple check my instructions, but I'll definitely be checking in as soon as I feel up to it to tell everyone how it went!

How exciting is it to see this thread starting to pop with activity?! I feel SO lucky to have found this place and be receiving so many tips and insights from others who have / are going through the same things!

Best wishes to all, we got this!!

Edited by Hiddenroses

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On 8/2/2024 at 3:59 PM, ShoppGirl said:

@Hiddenroses you are getting sooooo close. Hows the preop diet going? Bitten anyone’s head off yet? I’ve lost my temper a couple of times. Ticked off one worker so bad that when I called back to ask another question they must’ve seen me on the caller I’D and kept putting me back on hold for over an hour. Oopsie 🙊 I would’ve tried to explain but I figured unless they were in this boat they really wouldn’t get it anyways. Luckily I was home just purging my pantry from stuff I shouldn’t have around anyways so i just put it on speaker phone and listened to the hold music until they finally picked up.

i am not sure if I mentioned that I am having lunch with a friend tomorrow at a steakhouse. I am still allowed one meal a day of lean meat and veggies till Monday. Then it’s all liquids. I called the office to make sure it was okay to do the shake for dinner instead and they said no biggie. I’m sure my friend will order exactly what I would rather have so it’s going to be a bit of torture but I figure I may as well get used to it since choosing the healthier option while others are living their non diet lives is going to be my new normal.

I am officially done cleaning out the fridge, freezer and Pantry ridding it if all temptation. I just remembered that I do have some stuff stashed in the cabinet above the microwave though. Mostly nuts and salad toppings and stuff that are okay to have around but may expired before I can actually eat them so I may as well give them away too.

I also deep cleaned all the floors since it will be a while before I can do that again and i plan to do all my bedding and the bathrooms on the day before so they are as sanitary as possible when I get home. I think I may actually be ahead of schedule and have the day Sunday to relax. I’ve got a lot of calls to make Monday and Tuesday will be all about last minute stuff before surgery but Sunday I think I will do something fun. A pedicure maybe. I could really use one. Without polish I guess. Did they tell you no polish? They used to always say that but I don’t think she did this time. She said nothing on your body or hair but didn’t say to remove nail polish. Guess I will go with clear just to be safe.

Anyways, I hope that you are doing well and that you are organized and relaxing a bit yourself this weekend. Good luck Monday.

I'm a bit envious of your ability to purge your pantry! I share a home with my fella and my Mom, who I'm taking care of, so I just have to soldier through and think of what negative consequences would come from me eating the wrong thing. It has been interesting this week seeing them 'figure out meals' without my participation. I still cooked twice for them, the first time I made a big platter of stuffed peppers which wasn't TOO difficult to smell on day one but man, as the week went on smelling it be reheated was rough. The second time I cooked them salmon, broccoli, and rice. I DID break down and eat like two tiny bites of the salmon. I think my body will be forgiving of that tiny lapse - it was after all lean Protein. I almost wish I'd done two weeks of this diet to make extra sure I was ready enough for the surgeon but I AM following the diet as I was told to.

Granted, the last several months I didn't *exactly* eat the greatest but I did stay on track with my allotted calories for the day, which they had set at 1600. I admit that I did eat more fried food than I was 'supposed to'. It's been hard, honestly, losing my ability to turn to food for comfort, not turning to cigarettes for anxiety / comfort, bouncing around emotionally while I adjusted to taking the Chantix, and also - hadn't mentioned this previously, but I WAS drinking far more alcohol than I should have been up until about 4 months ago. That's another reason I took the extra month's delay when I shifted surgery types gracefully.

You seem to REALLY have your stuff in order! Oh - the nail polish - Honestly, the nurse in my closing seminar seemed to be very 'no-polish' strict but when I went to my pre-surgery check-in at the hospital I asked about it and they glanced at my short nails and said they were fine. I was nervous about that, because I keep mine maintained due to my anxiety issues - I used to have trouble not scratching at wounds, biting my nails, etc - but they said as long as my nails were short enough to get the finger monitor on and I didn't have any gems or super dark colors it would be fine. I just went and got my nails done on Thursday and chose super light, neutral colors so you really have to look closely to notice that they have a little shimmer to them and had them done very short. I appreciate that they worry about risk of infection; I've always been super neurotic about looking under my nails for dirt, scrubbing them, etc so I think they will be fine. If I say that often enough everything WILL be fine, right? Lol -- I can't wait to get past Monday!

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Honestly, if the bypass failed, why not consider the traditional Duodenal Switch? It's more reliable and effective than the sadi.

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1 hour ago, Hiddenroses said:

I'm a bit envious of your ability to purge your pantry! I share a home with my fella and my Mom, who I'm taking care of, so I just have to soldier through and think of what negative consequences would come from me eating the wrong thing. It has been interesting this week seeing them 'figure out meals' without my participation. I still cooked twice for them, the first time I made a big platter of stuffed peppers which wasn't TOO difficult to smell on day one but man, as the week went on smelling it be reheated was rough. The second time I cooked them salmon, broccoli, and rice. I DID break down and eat like two tiny bites of the salmon. I think my body will be forgiving of that tiny lapse - it was after all lean Protein. I almost wish I'd done two weeks of this diet to make extra sure I was ready enough for the surgeon but I AM following the diet as I was told to.

Granted, the last several months I didn't *exactly* eat the greatest but I did stay on track with my allotted calories for the day, which they had set at 1600. I admit that I did eat more fried food than I was 'supposed to'. It's been hard, honestly, losing my ability to turn to food for comfort, not turning to cigarettes for anxiety / comfort, bouncing around emotionally while I adjusted to taking the Chantix, and also - hadn't mentioned this previously, but I WAS drinking far more alcohol than I should have been up until about 4 months ago. That's another reason I took the extra month's delay when I shifted surgery types gracefully.

You seem to REALLY have your stuff in order! Oh - the nail polish - Honestly, the nurse in my closing seminar seemed to be very 'no-polish' strict but when I went to my pre-surgery check-in at the hospital I asked about it and they glanced at my short nails and said they were fine. I was nervous about that, because I keep mine maintained due to my anxiety issues - I used to have trouble not scratching at wounds, biting my nails, etc - but they said as long as my nails were short enough to get the finger monitor on and I didn't have any gems or super dark colors it would be fine. I just went and got my nails done on Thursday and chose super light, neutral colors so you really have to look closely to notice that they have a little shimmer to them and had them done very short. I appreciate that they worry about risk of infection; I've always been super neurotic about looking under my nails for dirt, scrubbing them, etc so I think they will be fine. If I say that often enough everything WILL be fine, right? Lol -- I can't wait to get past Monday!

The surgeon and their team do this all the time. If they say you’re okay with your nails then you’re okay. You’ve done all the research and all the prep and it’s time for you to just relax and let them do their part. When you wake up it’s your turn again to walk walk walk and sip sip sip. Best of luck in your travels tomorrow and then your surgery Monday. Give us an update when you are feeling up to it.

Edited by ShoppGirl

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Posted (edited)

19 minutes ago, Real Kombo said:

Honestly, if the bypass failed, why not consider the traditional Duodenal Switch? It's more reliable and effective than the sadi.

I don’t think anyone here has had a bypass?? I had a sleeve and I’m revising to SADI but my surgeon suggested the SADI for me because the risks of leak are less and the risK of malnutrition issues are less than The traditional switch.

Edited by ShoppGirl

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1 hour ago, Hiddenroses said:

Hello there! First of all - congratulations! Your progress is so exciting - and additionally it is especially helpful for me to know to track my progress with measurements more than the scale. I've already been eyeballing it throughout my liquid diet. My surgery will be Monday morning, early - probably the first one of the day that my surgeon will be doing from what I was told. I'm trying not to be nervous about having missed a call on Friday from the hospital; I'm sure it was something about my pre-surgery check in but since I can't access my voicemail I don't know. I did get the pre-registration call the day before, though.

Honestly, all of the information that you have shared is incredibly useful and I'm so grateful for it. I'm a little nervous because I'm supposed to be a bridesmaid for a good friend's wedding on September 8th, only right at a month post-op. I may have to hop on Insta just to review your tips, even though I rarely use it. I'm curious as to whether you've found any good cheese substitutes because I do have a great love for cheese!

Thank you for taking the time to share about your experience with us!

I buy the Walmart Brand Fat Free shredded cheese. Part skim cottage cheese and part skim Ricotta. I made a really tasty ricotta bake in the purée stage and since all you can eat at that point is a quarter cup a little goes a crazy long way.

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8 hours ago, ShoppGirl said:

''....surgeon suggested the SADI for me because the risks of leak are less and the risK of malnutrition issues are less than The traditional switch''.

Exactly!

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18 hours ago, Hiddenroses said:

Hello! Thank you for posting here as well! I'm scheduled to have my 'virgin SADI/sleeve' on Monday morning and I was SO happy to read your post so I could get a realistic idea of what my life will be like post-surgery. I hadn't gotten much feedback yet on what to expect after a couple of years and had only read that the malabsorption would diminish after 18 months. Your experience seems to match up with that pretty closely. I've got the same three week diet guidelines to follow post-op; do you remember any particular foods that gave you trouble as you were adjusting to life post-op initially? Or do you have any suggestions on what to start with in the soft food week? For the liquid diet I've almost entirely relied on shakes and a few helpings of sugar free Jello. Today I got some zero sugar yogurt and added that, and had a sugar free popsicle. I know that I'll have to be eating / drinking room temperature for at least the first week if I remember right.

I don't remember any specific food that gave me trouble. The advice I got was to try regular foods one at a time slowly so you can see how your body reacts. I have heard people say that they used to love food X but now it makes them sick or they lost their taste for it but that didn't happen to me. I had kind of a weird experience with salads an other raw vegetables - they went straight through me with hardly any digestion. Seriously, the toilet looked like I just overturned a bowl of salad into it. It didn't make me sick or anything, it was just strange. I was never a big salad eater to begin with but now I don't bother at all.

During the thick liquids/soft solid stages I remember being frustrated at the limited options. I wasn't going to puree food in a blender or anything like that so I stuck to foods that were naturally the right texture. I ate a lot of scrambled eggs and yogurt during the soft solids stage. Two Good was my go-to brand of yogurt and I still eat it pretty often. It is low carb and they have several flavors. I'd also eat instant mashed potatoes thinned with broth or milks but that is a lot of carbs so maybe wasn't the best idea.

I ate mostly Soup during the thick liquids stage. Any cream of _____ soup should work OK. If there are chunks of meat or vegetables in it, you can strain them out. Split pea and Tomato Soup work too although I have never liked Tomato soup. You can thin them with extra broth if it is too thick and strain or puree if it includes pieces of solid food.

You'll feel a lot of restriction immediately after your surgery. The difference between feeling comfortably full and ready to vomit can be just one bite. You'll get a feel for it but you may mess up a couple times before that. The restriction lessens with time but I still cannot eat anywhere near as much as I could before the surgery. Sometime I catch myself thinking that I could eat a normal sized portion of food but I end up stopping 1/3-1/2 of the way through.

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On 8/3/2024 at 7:08 PM, Hiddenroses said:


I keep editing this post realizing I forgot to add things -- I SO feel you on the use of public restrooms! I've always done pretty well to avoid having to go #2 at public places and what you described happening - noise, smell, makes me nervous. That's really the ONLY side effect of the SADI that I'm a little concerned about. So far I'm telling myself that since I've been running on the side of constipated it should be ok, especially if I am mindful with my diet. It was really cool to see a post here from someone 4 years post-SADI! That was very reassuring, about being able to eventually eat most of the same foods, but in moderation and in much smaller portions.

I don't want to worry you unnecessarily, but the diarrhea thing is real! I basically have not had a solid poop in four years. WARNING, discussion of poop ahead, highlight if you want to read it: It ranges from slightly softer than normal to pea Soup texture, depending on what I have eaten recently. If I've eaten anything with a lot of fat, there will also be separated oily...gunk...coming out too. farting has increased as well. From my understanding, your body does not have the chance to fully digest all the food you eat since it "skips" 2/3 of your small intestine. Water, fat, and gas that would normally be re-absorbed during the digestive process makes it all the way through. But, it doesn't really bother me. You know how if you have diarrhea because you're sick or have food poisoning you also feel crampy and nauseated? And you have to stay on the toilet for a long time? It's not like that, at least for me. I poop a normal amount and it's not urgent or painful, it's just runny. Sometimes I notice undigested food more than before surgery. I remember the smell being pretty bad immediately after surgery. In addition to regular stinky poop smell it almost smelled rotten and chemical-like. That doesn't happen any more unless I eat something REALLY stupid (vacation - many sugary cocktails. . . I regret nothing!) Usually it just stinks the normal amount 🙂

END OF POOP TALK

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