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Well I haven't gone back to the way I was eating before the 2nd surgery so that's something. I haven't had any breads, pasta, rice, etc (basically high carb foods) and I know I'm not getting more than 1000 calories a day but I'm not really counting calories, just the carbs per day (which ain't much).
I have been really good about not eating the things I should not have since I had this - I don't really want to do this again if it can be avoided...
Barbara
Barbara McKeown 
75 cm sounds absolutely fantastic. Who was your surgeon? 100 is fine too, I just don't want these absurd lengths that I read about sometimes.
Revisions are historically slower to lose. Is this true? Who knows. Seems to be. But starting now you need to be extremely low carb if you want to have a chance to reach your goal.
I had the traditional DS and it almost never fails. That's why I got it. RNY seems to fail often and I don't know enough SADI people to say one way or another. All you can do at this point is work with what you have!
Mine is 75cm. You will have a hard time finding anything shorter than 100.
A lot of those long CCs are not traditional DS surgeries. They are a newer procedure known as SIPS/Loop/SADI. Procedures that are similar to the DS but with only one intestinal anastomosis instead of 2. So it's not just CC. Know, for sure, what surgery you are getting.
For those of you that know, what was the common channel length for your DS procedure? I am looking to get the Duodenal Switch but I would like to find a surgoun who does a shorter CC. I've seen horror stories of people with longer CC regaining significant amounts of weight.
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
