Congrats on a successful revision. I can only give you my perspective as a "virgin" DSer (not a revision). With the DS you have to start adding carbs, because carbs are absorbed 100% - both simple and complex. Unfortunately with additional carbs can come with more gas and bloating, etc. The challenge is finding the balance of maintaining your current weight and not feeling miserable. Listen to your body and how it reacts to certain foods. Eventually you'll learn what helps, what doesn't. Since you were resleeved, you have to make sure you're getting in all of your protein, water, etc. That can also be a challenge. You need to snack more.

Being 10 pounds below goal isn't a bad thing because you will probably have some bounce back once you start adding carbs.

I had my surgery with Dr. Unsong. Great doctor, excellent bed side manners. Although, I should have only asked for a re-sleeve or just a DS and not both. My personal regret.

Look, Good for you for sticking to your guns and advocating for your choice. You are the only one that can look at your weight loss and gain history and decide if you need the DS. If you want to sound off in a place like this that is fine in my opinion.

While it is complicated, of course the revisions is possible, and I have seen multiple posts over the years
from people that have had this done.

It still depends on the skill and experience of the surgeon. The one I see in the US the most for such revisions is Dr. Keseshian in California but there are others.

I'm a traditional DS and while there are stresses, keeping up with my vitamins and labs is 2nd nature after 7 years so it doesn't have to be a "nutritional catastrophe".

Good luck,

Pete

Your surgeon is doing you a huge favor...

As bad as having some co-morbidities returning but still keeping a decent amount of weight off, the nutritional deficiencies that could happen with a revision, as well as other terrible side effects.

Don't get me wrong, like others on here, I know people who did great, where their only wls was a DS, long term.

You are way better off trying slowly lose weight on your own than converting.

I had no comorbidities going into a rny that I had in 2001, I had a brilliant surgeon, I had thought about DS then, but they weren't being done lap then.

And still managed with being pretty compliant to have gi bleeds, severe long term nutritional deficiencies and severe reactive hypoglycemia bad enough to require a reversal of my rny.

I didn't tell you that tidbit about my reversal, cause I'm anti rny or anti wls, I'm not. I have a sibling who's 17 1/2 years post rny who's never had a complication, can eat whatever she wants and just has to in the last 9 years workout intensely to keep her weight off.

I am saying most long term wls peeps do have to work harder with regain or to maintain, I get that it's hard to exercise with bad knees or backs, but you wouldn't necessarily be better off having a DS and then still finding you need back or knee surgery even after the weight loss.

It might help to find others who are similar to you who've lost regain without a revision, in similar physical cir****tances, which I'm sure there are some here and in other wls groups on the internet and on social media like Facebook.

I have irreversible cognitive damage in long and short term memory loss from the nutritionally deficiencies and I couldn't orally supplement enough, couldn't be supplemented enough intravenously with ferritin and banana bags for years and years.

I hope you realize the grace and wisdom of that surgeon and give yourself 6-12 months with having slower weight loss expectations, than to risk another bariatric surgery, given what you were told by him, as well as the others who gave you good advice on this board.

You'll really need to check with your insurance. Some ins companies will only allow 1 wls, even if you do meet the requirements. Something like complications from your first surgery might allow you to get another one. But the ole went off the rails for a bit, probably won't be enough, at least not thru insurance.