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OK so this reflects the weight gain from my junk food frenzy and the again lost. I went up to 294! and am back down to 292 after one day of being good and back on track All I have to say is that logging my food in fitday makes a huge difference for me. It forces me to acknowledge everything I eat. Name..........................Starting…...…..Current….…..Goal…....To Go Juliegeraci......................238............. ...... 238.................228.............10 Lapbandit.......................231............... .....226………….199.............27 Waterlily.........................300............. .......292.................264.............28 Roiansmom.....................299................. ....299.................270.............29 Libra...............................248........... .........242.................228.............14 JulieNYC........................212............... .....205.................185.............20 Elisabethsew...................282................ ....276........... ......264.............12 PeaCeJ...........................338.............. ......338.................318..............20 RidinMyHDDream......... 297.....................289 .................281...............8 Babygirl1234..................260................. ....253.................240..............13 Leecelove70...................228................. ....228.................200..............28 Josette............................351........... ..........351.................335..............16

I am on my last month of physician supervised visits, and I get the same discouragement from my surgeon, even when I went to Support Group meeting the people who had Lap Band seemed to struggle with weight loss though they were all losing it was at a much slower rate than bypass. When I mentioned that I was undecided as to which surgery to choose lap band or bypass (sleeve is not option for me) all by passers were very quick to push bypass while the lap banders sat quietly while I gave my reasons why I was leaning toward lap band. Then slowly one by one they encouraged me to continue on that path because even though they were losing slowly that were all very happy with their decision. Also, when I looked around the room the lap banders were they ones with great skin color, bright eyes, and no hair loss. That stuck with me the most, yes,I need to lose weight but I want to do it with the best long term health consequence. I do not want to become deficit in other areas. I need something to guide me toward making the right choices to lose weight and change my bad habits. Lap band, I feel is that tool, along with support from my WLS center, websites like this, and good support system I am finally going to win this war of unhealthy weight gain.

Fiqah87 I'm so sorry to hear what you are going through. I have a friend that went through the same thing you are talking about. She got depressed from being sick all the time and just gave up. Now she is only about 50 away from where she started and she is really depressed. But also, come to find out, she quit taking her recommended medicine and Vitamins and she also started back with bad eating habits. Now she is at the realization that she got too comfortable and started eating the way she used to eat because she had lost so much weight and then due to the rapid weight gain, she started staying then she was so sick that she couldn't eat. I pray things get better for you. Good luck Sent from my iPhone using the BariatricPal App

How Do You Know When You Hit a Plateau? Simply enough, a plateau is when you stop losing weight even though you want to. It’s not just a day or two without weight loss. It’s a period of a few weeks or more when you keep trying to lose weight, but the scale does not budge. You think you are doing everything you can and should be doing to lose weight, but still you do not see results. That is a plateau. It can be frustrating and discouraging and seem to be unfair. Stay Positive Plateaus can be maddening, but the absolute worst thing you can do during a plateau is to give up. If you decide that your diet is not worth the effort, you are almost certainly going to gain weight. Going back to your old, pre-surgery diet habits, taking oversized portions, and eating high-fat, high-sugary foods will not just make you gain weight. These bad habits can erase your health gains. Worse, they could cause some of the weight loss surgery complications that you already know about, such as the following: Stretching of the sleeve in vertical sleeve gastrectomy Dumping syndrome in gastric bypass Esophagitis with the adjustable gastric band (lap-band) Feeling nauseous or having diarrhea Another reason to stay positive is to keep up your motivation to continue all of the other healthy behaviors in your lifestyle. Don’t fall into the trap of “all-or-nothing,” in which you decide to give up all of your healthy efforts just because your weight loss isn’t quite what you want it to be. These include: Taking your daily vitamin and mineral supplements Getting enough protein and fluids each day Following your regularly exercise routine It Could Be Worse And it will be worse if you give up. It may sound strange, but you can stay positive by thinking about how much better your weight is now than where it could be if you gave up trying. If your careful diet is not leading to the weight loss you had hoped for, it is still preventing weight gain. If you give up, you will gain weight, and probably be pretty disappointed in yourself. Measure Success in Other Ways Another way to stay positive is to stop focusing on the scale. Find other ways to measure your progress. Tracking your body measurements, for example, can let you know that you are shrinking and building muscle even if your total weight is not decreasing right now. Tracking behaviors instead of measurements is another strategy. For example, you assess your success according to whether you eat well, such as hitting your protein goals or sticking to your planned menu. Other successful behaviors to be proud of yourself for are planning and preparing meals ahead of time and making sure you drink enough fluids at times other than meal times. Be Honest and Go Back to the Basics “Why me?” That’s a natural question when you hit a plateau, but most people don’t ask it seriously. However, if you think seriously about what is causing the plateau and how you can fix it, this question can actually help you break through the barrier and get back to losing weight. In many cases, you can figure out “why me” by asking yourself these questions. “Am I logging every single bite that goes into my mouth?” “Am I following the meal plan my nutritionist or surgeon gave me?” “Am I measuring – not eyeballing – all of the foods I eat?” “Am I exercising as much as I am supposed to be?” “Am I getting in my protein each day?” “Have I been too busy or preoccupied to plan my meals and snacks in advance?” If you answer these questions honestly, you might discover that you have slipped up and are not keeping up your good habits quite as well as you thought you had. Go back to the basics of meal planning and nutritious eating, and you are almost sure to see the scale move again within weeks. You’re in Charge! Plateaus are frustrating and nobody wants to experience them at some point, but almost everyone does. These steps can help you when you notice that you are in a plateau. Stay positive and keep up your healthy behaviors. Focus on other measures of success besides the scale. Assess your diet honestly. Make any necessary changes. You can get over your plateau, and you will be stronger for it! Just be patient and do what you know is right for your health.

Hi Elcee, They had to completely unfill due to all of the swelling. I allowed a month to go by barely eating anything as I thought it was me and the last week I could barely keep liquids down. So he stated due to the urgency of the situation we had to unfill completely to allow healing. He explained it as it was like I just had the surgery. He is also very reserved and the first fill I had 4cc put back in and the last one only 1 cc. He says it is fine and the weight gain is normal, however I am an all or nothing person. When I see one pound gained it is like 100 to me. I feel great physically, but mentally I am a mess.

I can't help much, the accident I was in was when I was 9. The guy hit us after running a stop sign. I had multiple MRI's, had to go to physical therapy for a couple of years, and think the pain and injury had a lot to do with my rapid weight gain during those years. My lower back and neck still hurt on occasion, but have really gotten better with my weight loss. I know we had to go through a lawyer and it took a couple years at least to get the settlement. My mom received $20,000 for her, she had severe shoulder problems that has needed multiple surgeries and I received $18,000 that was put into a CD until I turned 18. I do not know any other specifics or what the lawyer made on the whole deal.

Sorry Kat, I should have written that. Having it that long I just assume (wrongly)everyone else must know. Polycystic Ovarian Syndrome (PCOS) It affect a woman’s menstrual cycle, fertility, hormones, insulin production, heart, blood vessels, and appearance (hair growth). Women with PCOS have these characteristics: high levels of male hormones, also called androgens an irregular or no menstrual cycle may or may not have many small cysts in their ovaries. Cysts are fluid-filled sacs. PCOS is the most common hormonal reproductive problem in women of childbearing age. An estimated five to 10 percent of women of childbearing age have PCOS. No one knows the exact cause of PCOS. Women with PCOS frequently have a mother or sister with PCOS. But there is not yet enough evidence to say there is a genetic link to this disorder. Many women with PCOS have a weight problem. So researchers are looking at the relationship between PCOS and the body’s ability to make insulin. Insulin is a hormone that regulates the change of sugar, starches, and other food into energy for the body’s use or for storage. Since some women with PCOS make too much insulin, it’s possible that the ovaries react by making too many male hormones, called androgens. This can lead to acne, excessive hair growth, weight gain, and ovulation problems.

Congrats girlie!!!! Wooohoooooo!!! I think you look so healthy and vital and agreed! Weight gain after cancer is not so good for us! (psst-he's adorbs!)

I mentioned it to my family, not as in I was going to do it, but as something my friend did. I think people are just ignorant on all the facts. It is the unknown, they just don't understand the pain of the weight gain/loss over and over and over..... They don't realize how we live our lives and how obsessed we are with food, feeling uncomfortable, how we put our lives on hold to do this or do that, the next diet, the time wasted thinking about it.... My mom and husband are the only ones who know I am doing it, and a friend who actually had it done a year ago (and I was one of those ignorant people, who had doubts, but I kept it to myself and supported her no matter what) Now I know better and am scheduled to do it myself January 5. My mom actually told me she thinks this is to radical of a thing to do and that I should just have a butt reduction!!!!! That doesn't change the fact that I over eat. I can eat more than my husband! Even if I do Atkins, vegan lifestyle, I still don't lose because my portions are to big. In the end, only we know the pain we have suffered, the time wasted and how FREE we will feel to eat like a normal person, to actually stop when we are full, now because we physcially have to. Sometimes I think my mom wouldn't know how to deal with me thin, I think she thinks I will change. Maybe we are safe overweight for people. On the other hand, my husbnad is so happy he won't be forced to go on another diet with me. He says when ever I do another diet, he is forced to do it too! He has to also go through the emotional roller coaster ride I take every time I start something new or recycled, start to lose weight, start to gain it back.... Do it for yourself. You are the one who lives in your own skin. I am doing this for me! Audree

Hi Ladies- first hope all of you are well! It's been a while since I posted but now that I am post delivery (my little girl is 2 months old already!) I wanted to share my experiences being pregnant and delivering with the band should it be helpful at all: - My 10cc band was filled to 5.5 cc at the time I learned I was pregnant - My surgeon suggested we leave the band filled as long as I could eat- subsequently I never had an unfill throughout my pregnancy - Food: Before I got pregnant I had not eaten any bread/crackers or other types of carbs since my surgery. My first trimester was filled with daily nausea and I got through it by turning to carbs to settle my stomach also ginger ale which I would let go flat first. - Weight Gain: I gained 50 pounds during my pregnancy- most of it in the last 3 months. I did notice that as I grew so did my appetite and most days did not feel much restriction At delivery I was over 300 lbs and suffered no complications- in fact my entire pregnancy was pretty uneventful (thankfully!). I had the normal swelling in the last weeks and some carpal tunnel in my hands but that was about it. - Delivery: My daughter was 2 weeks late...and after 17 hours of labor we ended up need a c-section to finally get her out! Now post delivery I have lost 30 pounds from delivery but find my appetite and sweet spot gone. My surgeon would not do a fill without an upper GI first to make sure the integrity of the band was intact after pregnancy and delivery. Happy to say the test went well and have had my fill (6 ccs) and feel the return of the sweet spot! All in all, I experienced NO complications with my band during pregnancy and delivery. The only thing I noticed was that the port was VERY easy to feel as my belly was huge towards the end and many times it was mistaken for the baby's foot :-) Would also like to add that I have NEVER vomitted either post surgery or throughout my pregnancy. Good luck to all you ladies and am happy to answer any questions! Have happy and healthy pregnancies! xoxox abby

This just breaks my heart. I'm sorry to tell you, but if your husband was gay before you married him, then he is gay now. He is not interested in sex with you because he is not interested in sex with any woman. I'm just astounded at the number of gay men who marry women in a feeble attempt to reject their homosexuality. It just doesn't work and the wife and the children are the ones who get hurt. This has obviously taken a huge toll on your self-esteem and probably greatly contributed to your weight gain. This is an emotionally abusive situation and you need to do something to get out of it. As long as you stay with your husband, you will never know what it's like to be truly and deeply in love with a man who feels the same way about you. Please don't deny yourself that. Life is too short to be miserable.

Ms lady, so glad it went well. If you get back on your program it will all even out. Sometimes we just have Water weight gain so maybe it's that. Bobrocky, hope you next fill will do the trick. T'giving is going to be a challenge for all of us so stay on course. Chich, congratulatuons! 30 lbs is amazing. Let us all know how the fill works out. You're doing an awesome job. Genesishanna, steady loss is good. I've heard a lot about Zumba. Sounds like fun. Keep it up I bet it is amazing exercise. I've had lots of company since last Wed. I've fixed dinner for 20 three times and I am exhausted. Our youngest son Daniel flew in from NY Wed with fiancee and my hubby's niece and her whole family came up from GA. We had an engagement party Friday nite for our closest friends to meet Rebecca and I cooked an Italian dinner with lasagna, chicken parm, and Pasta with cream sauce,salad and dessert for 20 that night. We had enough leftovers for Sat nite.for everybody so I didn't have to cook again. Then Sun we had T'giving dinner for 20 also. Everybody goes home today and tomorrow we are taking the kids and grandkids to see the Rockettes Christmas Show. Thursday my hubby's sister and hew new husband are coming until Sun. It's been a lot of cooking and lots of fun. I have not overdone yet but have eaten a few things I probably should not have eaten. So far I have not gained any. I am back on my program and will start exercising again tomorrow or Wed. Still sitting on 20lbs loss and hopefully can start loosing again soon. I am not in a race with anyone and will take i slowly and steady until I am at goal. Everyone have a great Thanksgiving and stay on your programs the best way you can. If you falter don't bet yourself up, jump back on the program and don't look back. We can do this! Blessings, GG

I don't have kids but I can share what I went through. I was thin until high school and then I was only 15 - 20 pounds over weight. My mother wanted me to lose weight. I wanted to lose it too but it wasn't killing me. She actually put me on diet pills. By the time I graduated from high school I was 105 pounds. At 5'1" I was right on target and felt great. Of course, I started gaining again in college and I gained even more back. College didn't work out for me so I was back at home. My father died when I was 19 and we had a hard time with it. She was always on my case about what I was eating and always offered to pay for another diet plan. I lived with her and didn't want to here her telling me how bad the food was I was eating so I hid it. I would be angry with her and eat just to spite her. I wanted to be thin and I would try different diet plans and lose some weight but would always gain it back plus some. Her constant harping about my weight really bothered me and I am not blaming her for my weight gain because it was my choice to eat. I know she wanted what was best for me. However, I got to the point where I would drive through some where on my way home from work and get a small cheeseburger so that when I ate my small meal I with her I would be full and not suffer. We've discussed this in the last few years and she finally learned that the person has to want to lose weight and change or it won't happen. She gained about 20 pounds a few years ago and it bothered her so I told her to join WW. She did and lost the weight and now works for them. She loves her job and is much more understanding. She sees people that lose weight and some that just can't succeed. She has been super supportive of my LB journey. I don't know if anything would have kept me from reaching 221 pounds but I feel it definitely didn't help. I was 15 pounds over weight but that wasn't good enough, I had to perfect. That attitude is not healthy. Be sure to let her be a part of the decision making in her weight loss journey. It sounds like you are doing the right thing and I wish you all the best.

I'm combining this, with your comment on the IF thread (I missed it in my reply on there, but I think it fits here better anyway) "My 5lb window will be set between 130-135lbs. I know that sounds like it's only a "reframe" of goal 130lbs. But it's baby steps. I may later decide to make my 5 lb window be 135-140. I just know I feel better under 135. (Yes, I can feel those extra 3 lbs lol.)" I think your maintenance window is too low. You are at 133.4 now and got there at least partially as a result of your twisted bowels and subsequent "reset" type diet. I REALLY REALLY don't think you should set window so low it will be a constant struggle. It will be far too easy for you to go over 135, and then you'll feel like you've failed. You want to stay below 135, but your body doesn't seem to agree. I think the only place you feel those extra 3 lbs is in your dysphoric head Why fight your body, your MD & RD, to get to this mythical weight that you will finally feel like a success at? Another reason why I think you need to raise that upper maintenance limit is gaining and losing a couple of lbs overnight is completely normal and expected, as you well know. It isn't real weight gain, as you also know. I'm afraid you're going to drive yourself crazy fighting false gains. You need some room to play with your diet, upping your cals etc.. I think there is a good possibility your body doesn't want to get to 130, and is fighting it tooth & nail. So even if you dropped down to 400 cals/day, you'll still maintain. The other side of that coin is you very well may be able to increase your calories far above what you think you can. But you need some room at the top of your range. You're going to bounce up, and you need to be ok with that. The test will be if it bounces up and sticks around. To me, it then becomes quality of life issue. Do you want to fight your body everyday to stay under "goal". Or can you be happy, and feel like the rock star you are, at a slightly higher weight, that you know is a healthy BMI? We've established you need a goal & and challenge. How about a goal of shattering that dysmorphic fun house mirror. I guarantee you that everyone now sees you as a thin person. Can it be your goal to see yourself that way? Tough love I know, but still love! ❤️ 😘

She is a real cutie!!! Congrats and my sincere condolences on the twins. I'm currently 13 weeks pregnant, it was a shocker to me too after being told ill never conceive and having PCOS as well. I'm 6 months post op VSG. 283lbs was my highest and I'm currently 186. I'm still losing at this point and my docs are really discouraging it at this point. I'm not trying to lose, but I still walk and do step aerobics for exercise. She's a healthy active baby but need the weight my docs say so that she can grow. I'm concerned as well about the weight gain but really need to gain for her benefit. I definitely can eat more but don't have any cravings. I finished a sandwhich the other day but was too stuffed to add any veggies or fruits. Best wishes to you all!!! Ill be following the post! I plan to breast feed as well to help with weightloss. Sent from my iPad using VST

Hey Guys, I'm well overdue for an entry into my blog. My original weight was about 325 lbs and I've lost over 100 lbs with the lap band. I'm definitely up a few pounds since my last post. I weigh about 206. I had been maintaing about 195 for a year or so. But I've recently gone back to a sedentary job (5 months ago) so I've put on about 10lbs. Since my job is pretty boring, I eat my way through the day. There are snacks...bad snacks at every turn. I guess sweets and cakes keep people motivated in these environments. I'm also in a new relationship, which some say may cause you to gain weight. I cook alot more foods that taste good but may not be very low fat. I'm not exercising much either which doesn't help. I have gone to see a nutritionist who gave me some tips, however, I still gained a couple of pounds after seeing her, so i sort of stopped her recommendations, which included protein bars and shakes. I think I was eating even more food and I was still pretty hungry. So I'm back to eating when I'm hungry and eating what I want :-/ . I do try to get some healthy foods in, like salads and vegetables and I definitely try to prepare as many meals as I can at home. I recently went back to my GI (gastroenterologist) to get a partial unfill. I had my band tighetened pretty tight about 2 years ago. Then I was laid off from my job, which meant I had no insurance to go back for any adjustments. I really was too tight and I would wake up at night coughing up food, which was pretty scary. I was a little torn about getting an unfill because ofcourse I didn't want to chance gaining any weight back, but after many months of uncomfortable nights, sleeping sitting up waiting for my food to digest or choking in my sleep on food, I dediced to get an unfill. My GI took out about .4cc's he told me. He wouldn't tell me how much was left in the band....I suppose he didn't want me to focus on that. I've felt better ever since. I haven't had any bouts of coughing or choking at night. I really need to get an exercise regimen on board now. That is really my focus. I was never one for traditional exercise though. I lost weight mainly through going out dancing, but since I'm involved in a relationship,I don't feel it's the best thing to do now. I may join some dance exercise classes if I can find anything I'm interested in. I would really like to do a belly dancing class. I have visited another plastic surgeon to look at a tummy tuck, butt and breast augmentation. The cost was somewhere in the neighborhood of 15 thousand dollars. So I'm putting that on the back burner for now. I may have to have one procedure then go back for another later, but it's seems safer and more economical to do two at once. It's really important to my self-image to get these things done, because I have a lot of lose and saggy skin that I feel could be improved. Anyway, that's my update for now. I wish I could post pictures, but I will make sure I do so next time. I'm satisfied with my band experience so far. It has helped me to maintain a significant weight loss over the last 4 1/2 years and I don't forsee any significant weight gain. I am pain free and pretty happy about my decision. I wish everyone well in their weight loss journey! W8tygirl AKA Kia

And this is it exactly, isn't it? The weight gain is because of the heavy eating. Not from being merely years out from WLS. If you don't do the heaving eating, you won't gain the weight (malabsorbtion or not)? But you are TOTALLY right about LOSING the weight (once you gain it back). It takes much longer now. When I was 235 losing 5 lbs took days. Now it takes weeks. And years from now it may take months. So you are right again in that the trick is to not gain the weight, which is very difficult for most. Let me also say that I am only a little over a year out (so i'm still pretty newbie-ish and what do I know, really?) AND I've had it pretty good in that my results were/are very straight-forwardly related to my efforts. I eat more, I gain weight, I eat less I lose it. I get that this is not the experience reported by many.

Alrighty. So am back from vacay. This was my first real "indulgent" vacation since going into maintenance. I've been on a couple road trips since deciding to stop weight loss, but those were weekend trips and not all-inclusive ones, nor was I surrounded with endless food and drink. So how did it go? Well, the lead up to the trip had a little fear-of-the-unknown going on. I worried that I would have nothing healthy-ish to eat and I'd strave, or, that I would eat everything I see like I did pre-wls. Turns out there was nothing to worry about. Was there a lack of healthy-ish choices? No. There were always choices everywhere I went that fit into my normal eating (salad, grilled chicken or some protein), whether it was on the resort or off it. So I didn't have to pack all those packages of beef jerky, chicharron and protein powder, lol. The kids ended up eating my jerky and chicharron and I gave the protein powders to a bartender. Did I eat everything I saw? Yes and No. I did sample many things that I normally would not eat (I'm talking to you sugary desserts, fruits and some bread-like products), but only bites, not full portions. My restriction took care of that. Also thanks to my restriction, I learned after the first day that I need to pick and choose what I want to sample, because I literally have no room to try everything (I had to hurl twice the first day due to eating too fast and too much). So I only tried the stuff I really wanted to, and if after sampling it, it was only OK tasting, I'd put it aside. Only really yummy stuff got a second or third bite. It's sobering to realize that a lot of stuff really only looks good, and just tastes meh. However. I drank alot of alcohol. I did limit myself to maybe 5-6 mixed drinks of the super sugary kind (I'm talking to you pina coladas and margaritas) for the entire trip, but I was basically a bottomless pit for skinny mojitos and tequila shots. Also, I formed an addiction to these mini chocolate chip cookies that they served in the coffee bar. They were like a version of a not-so-sweet, not-so-buttery shortbread-type cookie with chocolate chips in them. They were about the size of poker chip and I swear I must have eaten at lest 10 of them a day. Along with 4-5 Americanos a day.... I did log everything I ate (to be best of my ability...I had to eyeball everything), and according to the stats, I averaged about 3000 calories a day over the last 8 days. And roughly half those average daily calories came from my cookie and alcohol consumption, yikes. In all, despite the record-breaking calorie intake, I managed to weigh in exactly a mere 1 lb more than before I left. Which means I've at least found my upper calorie level, of sorts* *Though I did run way more than usual though, as well as generally burn more cals what with all the walking/water sports/dancing/heat-enduring, so need to take that into account... So what was the lesson learned? Well, that I'm not going to suddenly explode with massive weight gain if I indulge. But I WILL slowly gain weight back if the indulgence continues beyond a short period of time. 1lb a week over a year is 52 lbs. And that is not acceptable to me. So back to figuring out my sweet spot...

I have zero real evidence and am just talking based on simplistic view of cause and effect (i.e., out of my ass), but I think the weight gain is because of habit changes? I'm not sure if there is anyone out there who gained those 15-20-30-40 lbs years out can say that this happened while staying vigilant with the habits employed to lose the weight in the first place? But if there is, I would love to hear from them. It would be interesting/educational to do a deep dive into that person's lifestyle choices AND health/physicality to see how they could gain weight without changes in habits, right?? I know this is a touchy subject for many, so I am hesitant to post this. I hope I don't offend.

I'm doing well. A lot going on right now. I made my goal which was to lose enough weight to get knee surgery. Turns out I needed hip replacement and had that done three weeks ago. Not focusing on losing weight at the moment, just focusing on eating smart and healing right now. I did weigh myself a couple of days ago and as I expected, was up around ten lbs. but that's water weight. My hips and legs are extremely swollen from the surgery and that's where the weight gain is from. Again...this far into the journey, I know what healthy choices and healthy eating entails and I'm keeping to it even through this major surgery.

I'm a firm believer in journaling, here is an interesting article on that very subject. I hope this helps you with your struggles, it sure does help me. Write Your Way to Weight Loss Find out how keeping a journal can keep off those pounds. By Madeline Vann, MPH Medically reviewed by Lindsey Marcellin, MD, MPH Writing down what you eat can double your weight-loss success and help you keep those pounds off permanently. After all, maintaining your weight can be harder than losing it, so you need all the helpful tools you can get. Keep Your New Weight: Why Journaling Works A study of 1,700 overweight men and women showed that those who kept a regular food and exercise journal, along with eating a low-fat diet and exercising 30 minutes per day, lost 18 pounds in 20 weeks, compared to a nine-pound loss among those who did no journaling. Researchers believe food journals work because: They make you accountable. They help you identify where extra calories are sneaking back into your diet. They can act as a deterrent — if you know you have to write down that you ate a second generous wedge of double fudge chocolate chip brownie pie, you might not eat it! They provide a concrete record of your success. One of the lessons many people take from their experience of food journaling is the difference between a serving size as printed on a nutrition label and the amount of a food that they consider to be a helping. For example, a serving of Pasta is about a half a cup, so you may be surprised when you start keeping your food journal that your usual helping of spaghetti could be as many as four servings. Keep Your New Weight: Find Your Best Journal Format Be creative with your weight journal format if that also helps keep you on track. The word journal may conjure up the image of a leather-bound diary tucked under your pillow, but 21st century dieters can get the same benefit with a high-tech twist — texting. An eight-week study of 31 families showed that tech-savvy teens were nearly twice as likely to stick to a diet plan if they could text-message about their diet and exercise choices. The study's authors concluded that an immediate response from a nutritionist helped keep them motivated. You could achieve the same results by texting a diet buddy. Another option is keeping a log of your dietary choices online, which may also give you access to interactive tools such as calorie counters and weight trackers as well as personalized meal and exercise plans. Keep Your New Weight: What to Journal Whether you're a next-generation smart phone texter or a spiral notebook traditionalist, you need to keep track of specific details for the best results. Here is a general guide for what information to track in your log: Your weight at the start of maintenance and at your regular weigh-ins. Your goals and any specific guidelines for your meal plan. Specific measurements you are tracking, such as your waistline. Portion sizes of foods — remember to make it servings, not helpings — and food groups. Nutritional information associated with the servings you are eating, such as calories, salt content, fat content, Fiber, and carbohydrates. Minutes of exercise expended, plus any other exercise data you record, such as heart rate. Any other habits that you believe are relevant to your weight, such as the time you spend watching TV or playing video games. Any other details about your eating experience, such as where you ate, who you were with, and how you were feeling emotionally at that time. Write down everything that you eat or drink, including Snacks and Water. And another success tip: For greater accuracy jot down what you ate right after you eat it. By keeping a food diary, you'll be able to see if you're about to go over your allotted calories for your current weight on any given day, as well as if you're eating too many or too few calories over the course of a week. Since it's important to shake up your exercise routine periodically to keep your body challenged, your journal will also allow you to review past workouts and alert you when you’re due for a change. Journaling is a great motivator, keeping you on the straight and narrow and preventing you from slipping back into old patterns that caused your weight gain.

i actually have implavon (sp?) in my ar. its the BC stick its good for three years and i love it. its been known to cause weight gain but they looked at my chart and i was the same weight a year ago when they put it in. i like it because i dont have to worry about taking pills every day or getting shots.

I can say that the removal of my ravenous hunger, and ability to gorge myself with copious amounts of food and beverages has been the key to my success. However, this is a reply to another topic I posted a couple of days ago. This pretty much sums up my experience, and my mindset on long term success with VSG. I have been maintaining my weight loss VERY EFFORTLESSLY at the age of 34 for almost a year. I have a 5lb bounce around on the scale any given week. I can tie it to my indulgences of high sodium foods, and my "girls nights out" with copious amounts of alcohol. I do not ever get in any formal exercise and have NOT for a solid year. I've had spurts here and there of working out at home for a week to 10 days, but nothing consistent at all. I honestly I do eat anything and everything I want. Here's the kicker, I don't want to eat a lot of junk food. Why? Because my body runs best, I feel best physically when I feed my body a nutrient dense, Protein full diet, BUT I eat Cookies, chips, pretzels, rice, bread, Pasta all in moderation. Of course, about 85% of the time, I eat protein first, but sometimes all I want is some veggies. I do not count anything other than protein and calories now. I keep white carbs in moderation to some degree, but if I want mashed potatoes and gravy, guess what 1/2 cup of mashed potatoes and a little gravy didn't make me FAT, 4 cups of mashed potatoes with gravy on top of a 12oz ribeye with mac-n-cheese, 3 dinner rolls, and 3 glasses of sweet ice tea made me fat. Moderation is the key. I will add that I have zero metabolic issues, nor is my body sensitive to carbs. I do not get the "eat a carb, crave a carb" nor am I an emotional eater. Therefore, going into this, I feel I beat the curve quite a bit. I was a volume eater. The sleeve will work just like any other weight loss surgery works. RNY and DS can be considered failures as well. Not one single weight loss surgery is bullet proof. So, a tool working long term is only as successful as the person using the tool. Just like a hammer to a nail. You can choose to keep your eyes open, steady your arm, and aim with precision as you go to drive that nail in with just a couple of dings, or you can wield that hammer blindfolded, with a swagger in your swing, and you'll more than likely miss the nail, hit your finger or dent the wood. Make sense? ? ? I will add that I am eating the same amounts currently that I was eating a year ago, but that quantity is double what I could at 2-3 months. The sleeve matures over time. There is minimal stretching. When I say double amounts, I was able to eat 2oz dense protein at 2-3 months out, today I can get in about 4-5oz of dense protein with a couple bites of veggies. You can cheat any of the surgeries, and the sleeve can be eaten around. I know the tricks, I employ them on occasion. Drinking warm fluids or having a glass of wine with my meal relaxes my stomach, therefore I can fit a bit more in, a bit more = 1-2 ounces of mashed potatoes, or mac-n-cheese on top of my chicken. To this day, I can NOT eat an entire chicken breast without stretching my meal out over 40 minutes. I can barely eat 1.5-2 poached eggs. What I'm saying is that there is a max capacity to the sleeve, but the restriction you have the first 6 months will change, ENJOY that time, maximize your weight loss, and become diligent with changing your lifestyle. Any weight loss surgery success is defined by either compliancy or complacency and with some mechanical failures on the other surgery types you can find that a specific tool "didn't work properly". It's a choice you make. No one else, the surgery doesn't fail UNLESS it's not performed properly because there is nothing mechanical to fail with the sleeve like there is with the band or RNY. The other issues can be metabolic issues, or carb sensitivity, or some people lose differently. Stoma and pouches stretch, malabsorption of calories, fats and carbs stop after the adaptation process occurs in the intestines, and then RNY patients are having to rely on restriction only with a stretchy pouch, a blind stomach left behind making ghrelin at a higher level vs. Sleeve patients. With the band, the list of issues with it are long, detailed, but the reasons the band can and does fail are numerous. Pouch stretching, not being able to get a decent fill, then there's the physical issues with the band itself. I can go on and on. But, I know plenty of VSG'ers that are 2-4 years out (mainly on obesityhelp.com) that share my opinion on weight regain with VSG, their experiences are pretty similar to mine. There are several out there maintaining fairly effortlessly as well, and live a life of moderation. I've seen 20-40lb weight regain on a couple of patients that are 3-4 years out, and every time, they admit, I quit eating the proper foods, life happened and I turned to my old friend for comfort, or they just gave up and expected to eat ding dongs and hos hos without consequence. Most naturally thin women I know don't eat packages of hos hos on a regular basis. Most naturally thin women do watch what they eat, and do not shovel shitpots of craptastic food into their body without consequence. At least none of my naturally thin friends can eat like I did pre-op and not see weight gain.

I think weight gain because of medication is something different than "the usual" regain so even if there were more veterans talking about this issue it might very well be that it's not helping you. However, maybe there are some veterans on this board who need to take similar meds and still maintain? Is there a chance that your meds can be reduced again in the future? There seem to be different strategies. I notice that several veterans talk about how they maintain their weight. It can usually be found in the threads about regain.

CherieLynne - I know just what you mean about more recent weight gains coming off easier than weight that has been around longer. I think the longer we've had the fat, the more comfortable and settled it gets - it just hangs on for dear life!!!