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So I am 5 years and 2 months post-op RYGB. I made it beyond my goal weight of 170lb to 160lb. Technically I was as low as 145lbs because I was very sick in 2020 then again in 2022, but after getting better, I stabilized at a steady 160lb. Last July I started online streaming/socializing with people. I started snacking more because of nerves and also began drinking quite heavily because being silly tipsy in front of strangers is fun! I had NO IDEA how many calories was in alcohol. Over the course of 5 months, I gained 20lbs. Even more, I noticed that I can eat almost a "normal" plate of food the same size as my family's. I broke the rules and had started drinking fluids with my meals. I think I thought I could get away with breaking rules because I was at a stable 160lbs. Now I am FREAKING out! I hate exercise. I never did it, even with my prior weightloss. I am using a tracking app my husband's VA dietician told him to use called Fat Secret. I am trying to stick to 1600 calories, which is super hard. I feel hungry all the time now. I think I caused pouch dilation. I refuse to be heavy again. My clothes are already getting tighter than I like. I was doing research today on weight gain after years post-op. I basically am reading that I need a bariatric reset. I am going to do a 2-week "Pouch Reset Diet." It's not to make my pouch smaller, but it's to retrain my body to feel full with smaller portions again. I need to go back to the basics, and it's really hard. I also don't get DS with sweets like I used to. Don't get me wrong, I still get sick, but I noticed that my sugar tolerances have changed. It really worries me. 40% of bypass patients fail and bounce back to within 10% of their original weight pre-surgery. I will NOT be a part of that 40%. My support system at home is tricky. On one hand, my husband does support me outwardly. But he himself weighs 415lbs and isn't doing much about his weight. He watched my struggles and drustrations and outright refuses surgery for himself. He's on some stupid intermitent fasting diet, but he still eats way too large portions at meal times. My 15 y/o son is pushing 285lbs, and his only exercise is video games. For me, it's like living around all these food temptations is a struggle. It's like being an alcoholic and living at a bar. I just ordered a crap ton of protein powder so I can jump start this Pouch Reset Diet. I started to push myself on working out at least a little bit. I have a mini stair stepper and an eleptical bike. Anything is better than nothing. I am just wondering if I am alone in my struggles?

Short update: I had my gastric sleeve procedure done in November 2019. I lost around 85 lbs and then stalled eventually regaining around 50 lbs back and a horrible case of GERD. I had never had symptoms of GERD before my surgery and about 3 months later, I had to begin taking omeprezole daily to deal with it. If I forget a dose I can tell by the afternoon. During the first year post surgery, I lost my husband (not unexpectedly but it DID happen 10 days post-op for me), moved across country from Florida to New Mexico, bought a new house and started a new job. My daughter is 1 year post-op and lost approx. 150 ibs on the DS. l just started the process to obtain a revisional surgery. Will be discussing the benefits of either the DS or ByPass. I had the upper GI completed which showed a small hiatal hernia with evidence of GERD. It also showed mild cricopharyngeal hypertrophy. Any suggestions regarding which of the 2 procedures would help with the GERD and to help lose the 130 lbs. that I still need to drop to get to my goal weight?

A final update for this thread: I had my gastric bypass on Feb 21! Check in went smoothly. I changed into my hospital gown, got my IV inserted, and was given a number of medications to take before being moved to a waiting area where I got onto a gurney. The various members of the surgery team came by to introduce themselves and check on various things. Finally, the anesthesiologist came by and gave me "something to relax" via my IV port. A minute later, I was being wheeled into the hallway, and that's the last thing I remember until waking up in my hospital room. I never saw the inside of the OR, and I have no memory of the recovery area afterward, either. The surgery itself took much longer than anticipated, about 6 hours. I was fine and safe the whole time, but the surgeon ran into some issues with my small intestine and a small abdominal mass (sent to pathology and was benign) that required additional steps. Because of this, I was surprised to wake up in my hospital room and discover it was already 9pm when my surgery began at 1pm! My poor mom had been so worried because we thought it would take maybe 3 hours max. The nurses checked on me several times that night. I was able to get up to use the toilet on my own, and the only real challenge was the IV pole having to be dragged along. I was very fortunate that I ended up with no roommate. It wasn't technically a private room, but no one else was assigned to it while I was there. In the morning, my surgeon came by and explained what had happened during surgery. He was concerned because some of the stitches ended up under more pressure than he considered optimal, so he wanted me to do a swallow test before I could have anything by mouth, including water. They got me in for that and it turned out okay, so about an hour after returning to my room, I was brought a bottle of water and a cup of red sugar free jello. I have to say, it was nice to have water because my throat was dry, but I really didn't care about eating. I did because they told me to, and I know at this point I hadn't had a single thing in my belly for over 40 hours, but I just didn't care. I felt zero hunger. But I at the jello, and later they brought me a popsicle, another jello, and a chicken broth. I ate it all over the course of about an hour. It was fine, but again, I just ate it because they told me to. Because I got such a late start on fluids after surgery, they kept me an additional night, just to be sure. But on Friday morning around 9am, I was discharged. I had a protein shake when I got home and worked all day on fluids. I was tired and a little sore, but my pain had been minimal enough that I was only on Tylenol. It worked well enough that I only had a few moments of real pain, mostly when shifting position that required the use of abdominal muscles. I was fortunate to have someone staying with me for the first few nights home, and my parents kept my kids (ages 12 and 15) with them for the first week so I wouldn't have to worry about all their activities and food. It took a few days to discover what worked best for me, which ended up being hot tea (decaf and herbal) instead of flavored waters as I'd been having pre-op. For the first week, I've met my 64oz fluid and 60g protein goals most days, but as time has gone on, I've become completely turned off anything with artificial sweetener and every protein shake except Syntrax Nectar Natural, which I can still manage. I definitely wasted a lot of money on shakes I won't be drinking, but I'm glad I had them for the 2 week pre-op diet and to take the pressure off finding things to try when I got home. Yesterday, I was allowed to start soft protein foods. So far, I've had tuna salad (2 Tbsp), refried beans with a sprinkle of melted cheese (1/4 cup), and 1 poached egg. No issues with anything so far. Tonight I will be cooking some haddock with pesto for dinner. I go in for my 2 week post-op appointment with my surgeon next Tuesday and hope by then my weight will be a little lower. I lost 15 lbs on the 2 week pre-op diet, but my weight was higher by about 5lbs when I got home from the hospital thanks to the fluids and swelling, and I'm only just back to where I was the day I went to the hospital. Still, 15lbs in three weeks isn't bad. As for other incidentals, I have been taking Benefiber daily in my morning tea and it really has helped. I had the first BM (very loose and not a lot) before leaving the hospital on day 2, and have managed to go at least every other day since, and daily the last couple of days, so I'm very grateful for that. My energy levels have been decent, but it's only today that I feel like I don't need a noon nap. Going without caffeine has been a struggle, but I'm getting used to it. After all the wait, I'm so glad to have this behind me and be able to focus on a healthy future!

Agreed, also had gastric bypass, 2 week liquid diet was awful, I felt hungry and it was difficult but did get better after day 4. Since surgery, I've felt hungry a couple of times, not in the usual way at all. I feel an overall need to refuel, usually when I've been extremely active. I've also felt hungry as in my stomach is empty, maybe two times. It didn't have the same effect, it was just a feeling, I realized I hadn't eaten as usual and should be hungry, set my timer to stop liquid, ate, and it was gone and I was left feeling satisfied. It's all just so much calmer, if that makes sense.

Tomorrow is my surgery day! I am soooo nervous! I only lost 6lbs on the prep diet. I know it was only 2 weeks but man I have been starving!! Send me good vibes tomorrow! I can wait to be one step further on my journey!

Lap band surgery 2004, nothing but pain & discomfort, no weight loss. Especially port sight hurt, lots of throwing up. After several attempts for help I started to just “live with it”. Married a wonderful man about 2 years ago, he said No your quality of life is more important. Went to doctors with me and he detailed everything (stuff I didn’t think to mention). I was referred to an excellent gastric surgeon. After tests and imaging, he said “the band needs to be removed and a bypass RNY performed. I was scheduled within a week, no waiting time. Best thing I ever did! The band was cutting into my liver, and other issues. I had a bit of discomfort but no pain meds other than Tylenol. I had this done May 15,2023, I have lost 70 pounds and feel great. Wear a size 4-6 jeans. I hope this helps someone. I think the band is the worst choice!

I had gastric bypass 8 days ago and I haven't felt hungry at all since waking up in my hospital room. If I didn't have times set for when I need to eat and how much, I would just not eat because if anything I feel an uncomfortable fullness like I've just stuffed myself with a massive holiday dinner just by drinking a couple sips of water. But I agree with @catwoman7 about the 2 week pre-op diet being the hardest part. Although after about 4 days, you become resigned to it and stop feeling so hungry. My advice is remove all temptation from your home and office areas before you start. You can't eat what you don't have.

on vacay this week, so every day's OOTD will be a bikini. this is the first of MANY (too many, some might say lol) that i brought with me 😉

I am just starting Zepbound tomorrow! Ihave had a long journey. I was lapbanded in 2002. I lost 130lbs. In 2014, after not seeing any doctors for 5 years, I went to a local bariatric surgeon just for a checkup. He found my esophagus had expanded. My band was too tight and I was packing my esophagus..didn't even know..no pain. Immediately unfilled and gained 30lbs in a month..eating NOTHING! LIke almost! I was refilled after about 3-4 months and then developed an infection..and to cut to the chase..band was removed in 2018 and revised to sleeve. By then I was up 50lbs. Since then I gained another 50lbs..so the sleeve did nothing. Between covid, bad eating habits and menopause, I cannot get this weight off..I tried keto..lost a few lbs..tried intermittent fasting..lost a few more..but my body just won't move the weight down..so broke down last week and saw my new primary doctor and she prescrived Zepbound..well orginally Wegovy but that is harder to find and Costco had Zepbound. I will start this Saturday.

It really did! I think I was on the waiting list for Tier 3 for about 2 years. I don't know how they think they are helping those who desperately need help with their weight, by making them wait years and years without any support. I completely empathise with that, although there are a lot of freedoms with being self-employed, it does make some things more difficult. I am glad they have reacted quickly to the complaint - I so hope they take it as seriously as they should and the woman who initially caused stress is actually held accountable. I have my fingers crossed for you! ❤️ Here if you need a friend x

How hungry is everyone after gastric bypass surgery? One of my biggest fears is being constantly hungry since no food is actually making it through my stomach. I have a week to go before my surgery, just starting the pre-op diet tomorrow, and a bit nervous if i can make it through without feeling like I'm starving.

While I do soak my oats overnight, it’s not the traditional ‘overnight oats’ because I still cook it. I start with a microwave safe container. Add 1/4 cup traditional oats (half a serve & not instant which are more highly processed & has additives), 1/2 teaspoon dried cranberries, a tablespoon of mixed seeds & a cup of milk. I microwave it in the morning & then add 1/3 tub 20g protein yoghurt, additional milk for a runnier texture & blueberries. Gives me on average a good 22g or so of protein. You could add some unflavoured protein powder for an extra boost if you want. I eat it hot or cold. I always have a few spoons leftover (it’s very filling) which I eat as an afternoon snack. Be ware: don’t cook it after you add the yoghurt - it curdles - shudder! If you were wanting a quick grab & go breakfast before work, my version takes vey little time. Pop it in the microwave while you’re getting dressed. Stir in yoghurt, additional milk, berries & then go. The overnight recipes I’ve seen use half a grated apple & yoghurt, milk optional the night before & no cooking the next day. I think they use instant oats which is why it doesn’t need to be cooked. Traditional oats are a great complex whole grain carb. You get sweetness from the fruit you add so no added sugar. Great breakfast choice. I ate rolled oats & blue berries 3 or 4 days a week while losing & now eat it every day.

Oh yes, way off the mark. You’re not in maintenance yet. You’re in a weight loss stage if I read your post correctly. You have every right to ask for the details, guidelines recommendations around your food intake & options, macros, calories, & whatever else you need to make you feel comfortable & confident about what you are doing. They are supposed to be there to help you & provide you with the depth of information you need to be successful regardless of current thinking or their own beliefs. It’s then up to you how you use that information - a guide or rule. Plus you have to work out what you (your body) needs to function best & most effectively. While some plans recommend getting your calories up, it seems to begin after you are on more solid food so 2+ months. From puree I was advised to eat 1/4 - 1/3 cup of food, slowly increasing to about a cup at 6 months. I was a bare cup & maybe 900 calories at my goal at 6 months. Ate about 1200 at my lowest weight (48.2kg at 18 months) & maintain 48.5/49kg consuming about 1600 calories. My portions only became about what is considered a recommended portion size around the 2 year + mark (3-4ozs protein & 3/4 cup vegetables). Oh & I didn’t have another shake after the liquid stage either. But that’s me & what worked/s for me. You could be totally different. To me a snack is generally a couple of bites. My snacks can be a level teaspoon of peanut paste, 1/2 a protein bar, 8 grapes, 1/2 a small apple, a stick of string cheese, about 6 macadamias to give you an idea. I used to eat a tub of 20g protein yoghurt over an hour as a snack too. As @catwoman7 said we all have different caloric & nutritional needs. Age, gender, general health, weight, height, metabolism, activity levels, etc. all factor in. And yes, if you want to lose more you will have to eat less than you are eating now & you’d have to eat less to maintain the lower weight than you would to maintain a higher weight.

I can’t tell you how much I appreciate you taking the time to answer me. It’s been over 2 months , so that’s why I’m kinda freaking out (my younger brother died of stomach cancer in his 30s… sooo the thought not getting my erosions to heal and this surgery not having been a success is really depressing me). I have an endoscopy scheduled for 3/15.. I can’t bear the thought of this revision not being a success … thank you , again 😢🙏🏽

@summerseeker made a great list! I would add to make sure your surgeon prescribes a PPI (proton pump inhibitor) for the first few months after surgery. This is to help calm the acid production in your stomach because our tiny stomachs are still making enough acid for our big stomach at first! With lower acidity you'll be able to sleep better and heal better internally without acid irritating that tender healing tissue. And keep in mind that hydration is crucial for the first few weeks, more than anything else, because it is hydration that will keep you out of the ER for dehydration. Try different temperature fluids (ice cold, hot, room temp), different flavors (sweet water flavoring packets, savory broth, neutral lactose free milk, herbal teas, decaf tea), and different textures (protein milk, protein water, protein shakes, milk thinned yogurt when allowed, sugar free popsicles). All fluid counts at first, even shakes or sugar free popsicles. I ate a LOT of sugar free popsicles the first two weeks. BUT, if you can't get near those 64 oz be sure to let your surgeon know. There is no shame in going to get hydration infusions and usually if you let them know before it is critical, they can arrange for it at an infusion center instead of the ER. Oh and wear something loose to the hospital, preferably something that doesn't put pressure on your stomach. And shoes you don't have to bend over to put on! LOL

Do you think just going back to that pre-surgery diet for a week would work well as a jump start? The 1 - 2 cups of broth, 4 oz of protein, 1 cup veg, 2.5 protein shakes? The surgar free water packet flavorings and even the gatorade / powerade zero still give me the prevomit saliva problem T_T

I agree with @NickelChip, this seems quite off. I've seen 800 calorie plans for bypass patients in the active weight loss phase, but most people are in the 1200 calorie range for maintenance... And your portion size will naturally increase a bit over time as you are able to eat more as your pouch heals. It won't be as much as a "matured sleeve" can eat, but it won't be a few tablespoons either. At the bariatric clinic I go to I attended nutrition class with sleeve patients and bypass patients, even though I'm a DS patient. We were all told to keep each meal to 10 grams of fat or less (general aim at 1 year out is 60 grams of total fat as per the ASMBS guidelines for a year out), and 10 grams of carbs or less, for less than 50 total grams of carbs a day, as they want us in ketosis during the active fat loss phase (this amount will double to about 100 grams of total carbs in maintenance). And protein varies for each group but bypass was to aim for 80 grams of protein a day, since they malabsorb some compared to the sleeve patients. NONE of us were given a calorie goal, only macro goals. We were ALL told to aim for 5-6 small meals a day for consistent energy, aiming for 4-5 meals if we go to bed early or get up late. So we were encouraged to eat about every 3 hours, allowing 2-3 hours between our last meal and bed. And told a fair amount of our carbs should come from high fiber, low carb vegetables and low sugar fruits, with a fiber supplement (SunFiber is amazing and non-bloating) and Miralax as needed to maintain regularity.

Hahahaha!! I eat a little bit of dark chocolate a few times a week for my mental health. I save it until after dinner and only have a bite or two, so it takes forever to finish a bar or bag of chocolate chips. But man, saving those carbs for that dark chocolate is worth it! 😂 I recently discovered freeze dried strawberries. OMG *swoon* I can't eat any raw fruit yet, it sends me right to the bathroom. But apparently freeze dried is fine and eating 1/4 cup of freeze dried strawberries easily fits into my macros. They are delicious crumbled on top of greek yogurt too! But they have to be freeze dried, the regular dried variety has sugar added and is waaay higher in carbs.

This makes sense! I have been under 50g, I have no desire to eat any bread but my guy bought me this huge Valentines Day heart of Sees Candy so I have been eating 1 bite of my favorite and putting it back. Just like the Trunchbull in Matilda LMFAO! It is what has been keeping me from over indulging. Its the perfect bite and I enjoy it. I may not have it every single day but 2x a week.

Even though you are a revision, your digestive system is still full of swelling and sutures from a major surgery! Hydration is king for the first two weeks, then protein, and both of these needs can be met with fluids... If you are experiencing nausea don't be afraid to ask for meds, it should help you be able to drink more. I agree with the others, sounds like a possible UTI. Best to go be tested at the doctor. Be sure to let your surgeon know approximately how much fluid you are getting in a day. Low fluid intake not only causes dehydration, but it can increase your risk for a UTI, especially in the first few weeks after surgery. ❤️

I'm so sorry you are experiencing this!! This isn't a you problem!! If you aren't losing sufficient weight you are either being given poor advice from your nutrition team, poor medical support from your surgeon, or it is possible your body is under significant stress for whatever reason and isn't losing weight. There are rare cases when someone with a sleeve doesn't respond but often those are people who have low starting weights. If they had a high starting weight and don't respond to the sleeve surgery, these people generally end up revised to bypass or a DS/SADI, and then lose weight, but again, that should be a convo being initiated by your surgeon as a future possibility if food modification and medications don't work. Some people take GLP-1 meds to help jumpstart their weight loss if the surgery hasn't triggered it, but again, at the 6 month mark this should be something the surgeon initiates conversation about. You shouldn't be living in fear of your appointments with them. If you aren't feeling supported you might consider getting a second opinion from another bariatric surgeon in the area not affiliated with this practice. I strongly believe in second opinions when talking things like surgery... It may sound like I'm being harsh on your team, but lets be clear. They made a nice chunk of money off of your surgery. You deserve good aftercare!! Some surgeons, like my own, believe that the best way to lose weight in the first 6 months to a year after surgery is through being in ketosis. This involves a good protein intake (60-80 grams with the sleeve) and carbs below 50 total carbs or 30 grams net carbs. You can get pee strips to test if you are in ketosis. Once in ketosis you should go through regular periods when you lose some weight, followed by periods where you lose none as your body stabilizes from the previous loss and recalibrates. If this doesn't happen, I'd definitely be communicating with the surgeon about it! What dietary advice did your team give you? Hydration is important for weight loss. If you aren't able to eat enough calories or drink enough water your body will go into starvation mode like @summerseeker mentioned. This is a huge stressor to the body!! And huge stress will cause weight loss to stop. Sleep is also crucial to weight loss, often more important than exercise. If you aren't getting regular sleep for enough hours per night, this can stall your weight loss. Physical activity of some kind is important, but it accounts for less weight loss than proper nutrition and sleep. And if you are under calories and under hydrated exercise will just further stress out your body.

Have you tried the sugar free water flavorings? I absolutely cannot stand plain water, but if it's flavored than I can definitely drink more than what I'm required. As for exercising, start small. Try water exercises, chair, or floor exercises. Can you maybe go back to basics and do protein shakes and broth, then mushy foods, then soft foods? Supplement with the shakes until you can tolerate more food. Also, definitely talk to your nutritionist and surgeon about this, as you should be able to eat food and get fluids in at 6 months out with little to no problems. For me, I ate 3 meals and 2 snacks for MONTHS. Now I am down to 1 snack on non work out days and 2 snacks on work out days.

Ahhh, the lovely tier 3 programme! It took an absolute age just to even be considered for that to begin with, I really feel for you. Then the added issue of thinking you would be aiming for a certain month or period of the year, to then be told last minute it's being pushed back, again and again, is genuinely the worst of it. Being completely honest too, as someone who is self-employed, I just don't earn enough regularly to commit to paying it per month. I was working 6/7 days a week between two jobs and I was barely earning more than 22-ish thousand a year salary until the end of last year. I do have the comfort of earning a little bit more now, but only in the right seasons unfortunately. I did put in a complaint yesterday to PALS, and they very quickly responded which was good of them, but it was conveniently not the woman who caused the stress to begin with. They've 'provisionally' (and I use that loosely!) let me know the 28th of March could work depending on how many others they have to schedule. Just a waiting game I suppose. Thank you for your kind words, I really appreciate it x

Thank you for the response summer, The water has always been a problem since the very beginning. It ALWAYS causes the spit thing to happen and its awful. Even if it's just sips. I wish I could just live connected to an IV. At my last meeting with my nutritionist 3 months ago they seemed disappointed that I had only lost 20 pounds since the surgery and hadn't lost any more since then. It was disheartening and has led me to live in fear of my next appointment with them, I feel like they're just going to be disappointed and shame me again and make me feel not good enough. It sucks.