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if I'm calculating this correctly, to hit 150-160 lbs by December means a 70-ish lb loss between now and then. I'm not saying it won't happen - but sounds pretty ambitious for 2-3 months. The loss with SADI might be more than with the other surgeries, but with VSG and RNY, after the first month, many of us lose about 10 lbs a month, give or take, until we get a few months out (when it drops further). You'll have more malabsorption than someone with RNY, though, so you very well could lose more than 10 lbs a month, but still, 70 by December sounds like a lot. Hopefully someone with VSG to SADI will chime in, though, since they'll know better than I would.
Weight loss is still going to come down to eat less calories than you burn. But you have added malabsorption, so that gives you an extra advantage. RNY adds malabsorption, but it is temporary. I believe that you will have fat malabsorption for life, but still absorb carbs. Correct me if I am wrong on that.
What happens with virgin weight loss surgery is that we go from a stomach that held 32-48 ounces of food at one time to a pouch or sleeve that only holds between 1 and 3 ounces approximately.
At first we can't put much in that tiny tummy, but in time we learn how to eat enough food to gain weight again. Basically eating more small meals because we can't eat large meals at one time.
After revision and the end of the liquid diet, it is easy to go back to eating the same amount of food as before. Switch patients seem to do the best when limiting carbs and eating high fat diets. Getting exercise and tracking calories, carbs, fats, and other macros still is important.
Real life begins where your comfort zone ends
Hi all -
I had my SADI on 09/01/2021. There didn't need to revise my gastric sleeve as the stomach is still the same size as when I 1st had it done. I'm back on regular foods now after 4 weeks and I'm still not eating much but the weight loss is not going so well. I have only lost 13 pounds in almost 4wks and I was told the weight loss should be around 20# the 1st month. I still have a few days to go but I'm not liking what I'm see. My clothes are bigger but not much and I'm back in my 16's comfortable (a little baggy) but I'm having doubts that I did the right thing.
Should I have just gone with the bypass and not done the SADI? I don't think I'm going to hit my goal of 150-160 by December...
Any thoughts?
Barbara
Barbara McKeown 
Hey Steph -
How'd surgery go? Just checking to see how you're doing...
Barbara
Barbara McKeown
I am well. yes that thing destroyed my esophagus. It is surgical bulemia. I actually feel normal now...except for the truckload of supplements!
If you have a specific question for me, PM me or I will not see it, as I don't check responses on the forums and don't have anything forwarded to my email.
Hi! I had a DS in 2007, after a couple of years of interacting and researching here. I lost and kept off 110 lbs in one year, had some nip/tuck in Mexico, and have no regrets! I have not been here in a very long time. I rejoined in 2020 but have not actually been here to lurk or post. Too much going on with caring for my mom. Sorry for crazy spacing. My keyboard is acting up.
I've wondered the same thing. My VSG was September 2010 and I'd like to see how people are doing this far out from surgery.
I'm an old timer who pops in once in a while. Had my DS in 2004. I've kept off most of my weight except for about 20 pounds since my thyroid has gone out of whack. Considering that I lost 175lbs though, that's not too bad. I have the same issues with taste and smell, but I do notice they are worse now that I'm getting older-62. I think a lot has to do with that.
I had RNY. I no longer absorb oral iron, except for the Proferrin. I have iron infusion about once a year. You need to see a doctor who is a specialist in blood disorders.
Real life begins where your comfort zone ends
Thank you for responding and for the information! I understand that fatigue is complex and I promise I have done so much searching for answers, as much as I can understand without being a medical professional myself.
Neither my surgeon nor my pcp have ever tested my ferritin. The most recent test, my pcp only tested "Iron".
I have two test results within the past year for my TIBC and MCV.
- TIBC was 286 ug/dL and 279 ug/dL in a range of 250 to 450.
- MCV was 87fL and 84fL in a range of 79 to 97.
The only other numbers I've had tested are my Iron Saturation and my UIBC.
- For Iron Saturation, both tests had me at 16% in a range of 15% to 55%.
- For UIBC, 235ug/dL and 240 ug/dL in a range of 131 - 425.
I do also have an underactive thyroid and have been on medication for two years. I've had it tested frequently and tested with good numbers every time.
