I’m really sorry you're going through this. Losing 130 pounds in a year is a very rapid weight loss, and the fact that you're struggling to keep food down and dealing with severe dehydration is extremely concerning. Since you've already been hospitalized twice, you need to see a bariatric specialist urgently to figure out what’s going on. There are several possible reasons for your symptoms. One common issue is a stricture, where the stomach opening becomes too narrow, preventing food and liquid from passing through properly. This can often be treated with an endoscopic dilation procedure. Another possibility is severe acid reflux or gastroparesis, where the stomach empties too slowly, leading to constant nausea and vomiting. Some medications, such as proton pump inhibitors or motility agents like Reglan, may help if this is the case. Malnutrition is another concern, especially with rapid weight loss. Deficiencies in vitamins like B1 (Thiamine), B12, and Iron can cause severe weakness, nausea, and other complications. Bloodwork can help determine if this is a factor. Reversing a gastric sleeve isn’t commonly done, but if your sleeve is too tight or has caused severe complications, some surgeons may consider converting it to a gastric bypass or duodenal switch. In some cases, a partial revision can help make the stomach less restrictive. The most important step right now is to get a thorough evaluation. An endoscopy can check for strictures, ulcers, or other abnormalities, and bloodwork can help assess nutritional deficiencies. While you wait to see a specialist, try to stay hydrated with small sips of electrolyte solutions like Pedialyte, coconut water, or bone broth. If you can’t keep anything down, you may need IV fluids again. A nutritionist may also help you find foods that are easier to tolerate.