You'll have a bit better results going from sleeve to bypass than if you already had the bypass and were revising that. It is still going to be work and you will have to stay on top of your vitamins and your annual blood work. Many bypass patients have iron issues more than those with the sleeve so be aware of that.

I went from band to bypass and even though I have had issues with my iron after several years my pouch is still small and as long as I have proteins first and track what I eat I can still lose weight (gained some over Covid).

I would look at what caused you to gain weight back with the sleeve and not make that mistake with the bypass. It really doesn't matter what WLS on has they can all have weight gain if you fall back into bad habits.

Look at posting on the daily menu thread on the RNY board.

Hello and welcome!

Looks like this just posted, and I hope you got what you need for surgery tomorrow. Nervousness is super common and this is a huge, life changing decision.

Per your question, I'm just at six months post SADI, whi*****ludes a sleeve half. No complications during surgery or immediately after. I was 249 at surgery. It helped me to walk through the process with my surgeon and ask questions about how they check the staples, how many procedures they've done...and on and on. It inspired a lot more confidence those last couple of days. I spent one night and checked out as soon as they let me. At six months, I'm working through some symptoms that are gallbladder related and I have some deficiencies related to the malabsorption component of my SADI. The regular follow up helps to calibrate responses there.

Ultimately a lot of the things that come after surgery can still be easier to handle than the lifetime of obesity I've struggled with.

Hope you've been able to reach the decision that's best for you. Cheers!

I totally agree that a vision is so important to stay on track. Often previous attempts to lose weight with both a positive and negative results can sometimes make us lose confidence. Please keep your chin up. If I can provide some guidance that I find works and it may appear a little odd. Trying to follow a lifestyle where you are perfectly doing everything required every single day, can and often does become very difficult. It is important to to have some flexibility. The 80-20 rule. Yes be on track and do everything you can 80% of the time then the remaining 20% we need to accept the option that we eat differently, may eat a little more and may be less active. The next step would be to be ok with this and accept it as part of life. This will make it easier to stay on track and be motivated. Also another note to keep in mind is revel and enjoy the better quality of life you have by losing your current amount of weight. celebrate the journey just as much as the final result you are seeking. Wishing you all the best of luck
Helen

I had a lower body lift, which is a tummy tuck plus they do your back side as well (so even more extensive than the tummy tuck). Although I personally haven't had a panniculectomy, I think they just take the excess skin off, so it may not be that painful. Tummy tucks and lower body lifts can be pretty painful, but I think most of the pain comes from the muscle tightening and the liposuction, which I don't think they do with panniculectomies.

some (not all) insurance companies/policies will cover panniculectomies if you have problems like the one you described that won't go away with conventional treatments. You need to go to a PCP about it and make sure you have him/her document it. If your insurance company is one that covers such things, they'll want a paper trail on it proving that it wasn't responding to conventional treatments.

He sounds like a man with a fat fetish, more in love with your fat than the person underneath. Your life is more important than anything or anyone else.