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I had gastric sleeve in Dec. 2013 after having reached a weight of about 440-450 and everything went according to plan the first 18 months or so. Since the spring of 2015 or so, I have been stuck in the 285-305 range (I'm 6'3" and 43 yo) and have been unable to get out of that no matter what I try, to the point where emotionally, I am basically back where I was at my highest weight. I can't stand to look at myself in the mirror, and I'm either a) obsessively counting carbs or calories or b) not caring what I eat and engaging in secret compulsive eating (though on a much, much smaller scale—instead of a dozen donuts, I'm going for one or two and not telling my wife or anyone else). The latest emotional defeat is this: I've spent the last three weeks doing a keto/Atkins-type thing, which was the only thing that ever worked for me before my surgery. Meticulous tracking, urine sticks showing I'm in ketosis, moderate walking exercise, and—here's the catch—a pretty extreme calorie deficit. Most days less than 2k per day, never more than 2,500, and in one four day period, I basically did the surgery prep diet of only protein shakes and broth, at about 800-1200 calories. After all that, I lost 2 pounds, which, when you're 292 pounds, is nothing. I'm already planning to eat poorly and secretly tomorrow, and I have absolutely no idea what to do. I feel essentially the same way I did before my surgery, though less intense, in that it seems like there's really nothing I can do. This is driving my wife crazy, and she's unable to understand or emotionally support me. I'm also trying very hard to not go back to some other addictive patterns. I know the first thing some are going to say is exercise more. I haven't done that lately, and there are two things holding me back on that point. At various periods in the last 4 years, I have done serious, several weeks-long programs with personal trainers in tandem with calorie deficit, and have had literally no success, other than gaining a little muscle, which resulted in a net weight gain. Also, I have some pretty extreme chronic degenerative disc pain, and it's hard to motivate myself to work past that pain when past results from diet and exercise have yielded little to no tangible benefit after great effort. One other thing that may be a factor: I had my gallbladder removed in 2017, and it had been basically shot since at least fall of 2015. I also had hiatal hernia repair the same time I had the gallbladder out. To be honest, I'm not really expecting any useful feedback. This may just be what life is for me now. But I had to say it somehow to someone.

💜CONGRATULATIONS💜

Yesterday I had a free for all since we went to the lake and made a lot of good food. I already planned to eat since it was gonna be my last day to eat anything. I didn't drink any soda or carbonated drinks so that was the only positive out of that.Today I went right back to nothing but liquid and I am skipping my one allowed meal. I gained 3lbs back I was 9lbs down but back to 6lbs down. No more cheating or planned cheating scouts honor! lol 5 day until surgery! Sent from my SM-G965U using BariatricPal mobile app

Very pleased you are recovering well! I hope the problems you described are sorted long term.

https://labblog.uofmhealth.org/body-work/new-endoscopic-procedures-offer-alternative-to-bariatric-surgery This is all I could find on this procedure. I'd never heard of it.

Hi! No I only have to do a 3 day clear cleanse! The doctor said maybe lose 5 pounds, but nothing specific! What about you?

Me to just out of hospital how r u doing

Had my RNY on 7/2. First two days post op sucked but I feel pretty good today

I’m almost 3 weeks post op and my glue is starting to come off. Any recommendations on scar cream/ oil brands? Also, can I start this as soon as the glue falls off?

Ok, Love bugs for Surgery in Aug 2019! I got approve for my surgery and my insurance is paying 100%. I am very excited!!! Counting down the days ... Aug please hurry up!