My aunt looked sick to alot of people but it was because they weren't use to seeing her at the weight she was supposed to be.

I wish I'd seen this sooner but I rarely come on here. I had gastric bypass and didn't lose weight, despite eating 600 calories a day. They told me I was lying and doing all kinds of things wrong but really? How can I be the problem at 600 calories a day?

I had a revision to a DS with DrRabkin and of course it was my fear that the same thing would happen- because it DOES happen. Rarely, but it does. They have people work out with weights to develop lean muscle tissue, and that gets things going. I was able to talk with one of his patients that it had happened to, at his support group one night. She worked really hard with the weights, but she was really motivated and she lost her excess weight and looked great. And Dr Rabkin never told her that she was doing everything wrong- he just told her how to fix it.

I sincerely hope that your body finally responded and that you don't need this response at all. Best of luck to you.

After reading, I would only do original DS.

I will say this too she eats all day long she said the other day oh my I've been eating to much and get on the scale and she weighs the same.

If he is leaving your pouch intact then he is not doing a BPD/DS, as that uses a sleeved stomach as in the VSG. What he might be doing is a distal RNY, which is a more malabsorptive version of the RNY which has a common channel length on the order of what is done with the BPD/DS. As the RNY to BPD/DS revision is very complex revision that few surgeons have the experience to perform, even experienced BPD/DS surgeons, and Dr. del Pino doesn't list the BPD/DS as an option on his website, (he lists the simpler SADI/"modified" DS instead) I doubt that this is what he is proposing - perhaps there is some nomenclature confusion going on?

Post op diets vary all over the map, and there is more variation between surgeons than there is between procedures. With our surgeon (my wife had a BPD/DS from him, and he is one of the ones who does the RNY to BPD/DS revision) we were on purees and soft foods immediately as tolerated and then everything else as tolerated after a month, so that's a big YMMV thing.

The vitamins sounds about right, but as usual there's lots of variation in recommendations. The BPD/DS and distal RNY both malabsorb more of the fat soluble vitamins A,E,D and K, so more emphasis is put on them. Many recommend a separate dry ADEKs tablet to handle that, but most people split it up and go with individual vitamins over time as their labs show what they really need, and they may need, say, more D and K but less A and E than the standard tablet provides (or some other combination.) It all comes down to what you as and individual needs as shown by your periodic labs.

Revisions typically do not do as well on weight loss as a virgin procedure (my simple minded view is that your stomach started out being able to hold 32-64 oz; after your first WLS, even with some stretching and adaptation, it only holds maybe 4-8 oz, compared to 1-2 oz right after surgery, so the volume difference isn't nearly as big as the first time around - you have learned how to "eat around" the smaller volume.) The BPD/DS and distal RNY generally offer the best results as the significantly greater malabsorption comes into play, but still isn't usually as strong as a virgin procedure. Being a younger guy helps significantly, though, on the metabolic front. Some do fantastically with a revision, but that is not the average, so it pays to really look at it as a "do over" that helps you get back on track rather than a total cure. Those who do best, from what I have seen, are those who dedicate themselves to "not letting that happen again". That said, the BPD/DS is the best around at helping to keep it off in the long term - we have a dinner support group (or at least did, pre-covid) of mostly 15-20 year DS vets, and by and large all are maintaining well over that time. Sure, there are ups and downs, but mostly the weight comes back off more or less like a "normal person" with a few months of effort and attention.

Time off is another big variable, particularly with type of work contemplated; being younger and presumably stronger plays in your favor, the more extended clear liquid diet post op tends to play against it as its harder to get and maintain the energy than on "real" food. Add in there the luck of the draw - complications in the surgery and individual responses to it all and you may feel like you've been run over by a truck for an extended time, or up a ready to take on the world in a couple of days, or anything in between. I would not make any big commitments toward work that early out, but do as much as you feel like doing.