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I am 33 years old. MY starting weight was 360 and I am 5'10''. I have lost about a hundred pounds in three months. I exercise often and try to get all my fluids. I still have some skin issues but I have noticed that they are in places that I previously had stretched my skin from weight gain. (example: under my arms) Honestly, it is not yet a serious "issue" for me and I have noticed that places that seem a bit "saggy" one day have improved and tightened up a bit in the weeks to follow. I do not think there is a clear cut answer to your very valid question. I question, I might add, that weighed heavy on my mind prior to my surgery. Everybody's experience is different because there are way too many factors involved. I truly hope that all goes well for you in your journey. Good luck.

The past 6 to 8 months I've not like posting my weight on my anniversary, as you can see, it has stayed in the same range. Today makes 17 months since my banding. I am still struggling to get my fill just right. I thought my 10th fill would be the perfect amount, but I still believe I need a tad more. I still can eat anything, bread, steak etc. some days are tighter than others, but I find that it is only about 1 week out of the month that I have perfect restriction - and that is during my monthly. sometimes when I ovulate I am tighter, but again, that is just a few days out of the month. I will be going for fill #11 next week, right before my cruise. I know some might think I'm crazy, but I'm sick of not losing so I don't care if I am tight on the cruise. I don't want to gain on the cruise, I actually would like to lose a few pounds while on the cruise - this will be a first if that happens. The average weight gain for a cruise is 10 pounds and I've always gained weight while on a cruise. Always, at least 5 lbs, last year, I think I only gained around 3 or 4, I can't remember. Well, it hurts, but I have to be honest with myself - so here is my weight history since banding......month by month. I am still determined to finish this race by my 2 year anniversary! I want to lose and hit my goal, I will lose and hit my goal! I will not give up and I will not quit until I reach my goal! Highest weight - 248 1 mo post op - 206.8 2 mo post op - 198 3 mo post op - 193 4 mo post op - 184.2 5 mo post op - 178 6 mo post op – 174 7 mo post op - 178 - went on vacation and ate big (7 day cruise) 8 mo post op - 174 9 mo post op - 170 10 mo post op- 167 11 mo post op - 170 - haven’t even been trying 12 mo post op - 174 - again, not trying. But finally refocused - exactly where I was at 6 mos post op – so basically no weight loss in the past 6 mos 13 mo post op - 183 - Ouch! started taking steroids and made my weight go up, along with not eating right and no exercise! 14 mo post op - 185 - grrrrr 15 mo post op - 180 - weight is finally going down, but inches are actually coming off faster since I've been exercising a lot. 16 mo post op - 178 17 mo post op - 175

Thank you Arabesque! I kind of get in my head at times because i really think menopause did a number on me as far as weight gain and inability to lose it on my own without surgery. I know everyone is different and we should not compare the rate or amount of weight loss to others. I just wonder at some point if menopause will interfere with the amount of weight i am able to lose as it seems my hormones seem to be sabotaging me as far as hot flashes, etc. My "banana" was born on 4/12/23 and I've lost 37 lbs. I suppose not bad for 2 months. I average 400-500 calories a day. I get about 60g of protein per day. I will be honest and say i don't exercise as much as i should. Water is hard for me to drink the amount you are supposed to so i did switch to decaf black tea with splenda and of course that is easier for me to drink more of it but still dont think i'm getting the 64oz of liquid.

Hello, I guess this is my introduction to the forum, please point me in the right way if I'm in the wrong place. I'm a 46 Y/O guy, about to go in for a revision to my RNY that was done a while back (exact date when I remember...) My new date is this coming Tuesday, May 30th, 2017. My first surgery was somewhat successful, but I guess I got tired of the restrictions and requirements after a while, and I started cheating more and more in my diet. I dropped down to around 300 lbs after starting at 618, my heaviest. A few years ago I had an accident, where I was left in a lot of pain, and since I didn't have insurance I left it go untreated, and that was the beginning of my weight gain, to where I'm now, 504 lbs as of last Monday. Well, here I am, not as excited as the first time, and not scared either, more of a feeling of "whatever". Now, don't get me wrong, I will make it work, it's not as fun being fat and 46, like it was being fat and 30. Anyway, I'm an open book, ask away if you have any Q's, and I'm looking fwd to learning from ya'lls successes and mistakes, especially now that I found a forum dedicated to guy's issues, because my first time around, it was mostly ladies, with very few guys, and most of those guys were young. Best Regards.

I'm so grateful to have found this site and have read a number of stories that made me feel less alone in my own struggle. Here is my story: March of 2008 I saw a weight loss surgeon who said all the right things to convince me I was too fat to lose weight on my own and the only way to have lifelong success was to sign up for WLS which required a thousand dollar deposit. I weighed 265 lbs at the time and in my late 30s was far too tired to try another diet and exercise program that would inevitably result in another 10lb weight gain. January of 2008 my employer switched to a new insurance carrier, I submitted paperwork in March for coverage for WLS and eventually got the definitive "no" in November 2008. Fast forward to October 2009, same doctor, same spiel, weight now 295lbs and co-morbidities presented to insurance carrier requesting coverage- denied. Februaury 2011, made a "lets just see" call to insurance carrier to find out if requirements were met........found out that one more year of a documented weight and BMI over 40 and the coverage would be extended! I put my ducks in a row and within 2 weeks of my initial doctors visit in February 2012 I was able to schedule my surgery for mid March. I was shocked to find my weight ballooned to 347lbs but thrilled when I lost 16 lbs pre-surgery in a short 12 days. I took 5 days off work, gave away all the food in my pantry and bought the cutest pajamas I could find for my 3 day hospital stay. I packed my bag on Sunday and even though I was nervous and exited I slept until 5am when I took a luxurious bubble bath and set out for the hospital @ 7am. In pre-op my precious daughter sat and prayed with me, my anesthesiologist joked about just turning the big 40 too, my surgeon came in and smiled, answered my questions, quelled my fears and prayed with my daughter and I. Nothing but blackness. I barely woke to find myself in PACU alone and asked for my daughter to be allowed in.."sure honey, which one is she?"..."hmm, oh, she's the one with pink hair!". My sweet daughter came in and praised God with me that I was breathing and everything seemed fine. Fade to black again. I'm in a private room now and my daughter is sleeping on the sofa. The nurse comes in, the IV is checked, "here's your button for the morphine pump. Any time you feel pain coming on you press it." I'm not in pain, I feel my stomach and it feels flat already, stupid, it must be the drugs. My surgeon comes in with his PA and he looks flushed, sweaty and triumphant, "eveything went wonderful! no problems, a textbook case if there ever was one." we smile and I joke about calling What Not To Wear to get a new wardrobe. I get up to the bathjroom as soon as I can. I'm anxious to see how I look and change out of the hospital gown. It's been 3hrs since surgery and i'm in my pajamas, robe and snuggly slippers and my daughter takes my arm and we begin our walk around the unit. I walk and walk, smiling and thinking what a good patient I am, no DVTs for me. My stay is uneventful, day 3 my surgeon smiles and says "time to go home!" I fill my prescriptions but I haven't touched the pain medicine and feel so powerful that I drive myself home. Then the horror begins. The first noght i'm home I wind up in the bathroom with forceful diarhea that comes in waves of gut wrenching spasms. Over and over again, just foul smelling liquid, I sit there too long and now i'm sick, I pull the trash can over and vomit clear liquid until I think i'm going to pass out. My daughter gets me to bed, time to take the meds and not try to do it on my own, I slump back and its daytime now. My head is spinning and the spasms come again, diarhea, vomit.... I step on the scale, smile in a drug haze and think wow i've lost 2 more lbs! Nothing is clear anymore, what day is it? what time is it? did I take my pills? was it a dream or did I really eat a piece of chicken from the refrigerator? why won't the nausea stop? why do the Protein shakes suddenly taste like dog butt? I can't get anything in, i'm trying to force 2oz popsicles down but when I finish one its back to the bathroom with waves of diarhea and vomiting. Day 6 post-op, I manage to take a shower with my daughter holding me up, pack 2 Protein Shakes and my giant Water bottle and trot off to work. I make it 2hrs into a ten hour shift and spend most of it in the bathroom vomiting blood...time to call the doctor. I talk to the nurse who tellls me to drink as much water as I can. I can't. I call and talk to another nurse who says to try a different Protein shake. I'm weak and sick and starting to lose it...I scream at my daughter "why won't you help me?". I call the nurse again, the PA calls me back "have you been able to take your meds and get some water in?" no, NO! It's been 11 days since surgery and now we're worried for some reason and my daughter has my bag packed and we're back at the hospital where they have my room ready and they put me back in a hospital gown. I don't see my doctor until Monday but Fri, Sat and Sun a variety of PAs mand other surgeons from the office come in and tell me things and they'll support me and some people have a harder time and just give it time, time time. Monday the first of many PICC lines come and the tests start. In 3 days I blew 11 IV lines. The PICC line sounds wonderful but they hit my ulnar nerve and the vein occluded and I went back to my room with an open hole in my arm, a second PICC and a gown covered in blood..how did that happen with a sterile drape? So I can't eat but they think I won't and they tell me all the reasons I need to and they threaten if I don't its time for TPN. I try, I puke. I try everything, Unjury- ick, water-gross, eggs-vomit, pudding, ice cream, sherbet, yogurt, Jello... the nausea wells up from my toes and never ends. The TPN starts on Tuesday, I leave the hospital 13 days later, Maundy Thursday, I beg because tomorrow its Good Friday and I can't bear to be away from daughter on Easter. Monday after Easter I have lost 8 lbs in the 4 days i've been home, somethings wrong. The doctor says to get a liter of Fluid and some Vitamins, it'll be ok, it's not. Friday the nurses come and set up the home TPN and show me how to do IV push meds, the saline, phenergen, saline, heparin, again, the zofran, again, 8 times a day. My house becomes and infirmary, boxes and boxes of supplies, dressings, medicine, saline, alcohol swabs, heparin. The dog can't be out when the dressing is changed, the TPN bag is changed once a day, add the vitamins, push the medicine. It takes a few weeks and the meds are doubled, the nausea just won't fricking stop. The TPN is my savior. another month, double the meds again, brief periods of relief, my weight stabilizes @ 317....I had WLS for this? I can't work, i'm constantly sick and besides I have a doctors appointment every week and another test, EGD, swallowing, emptying studies, another EGD, but nothing is wrong "everything is fine, it may just take time for you. You might be on liquids for 6 months" my doctor says... liquids? it's been 3 months and I can drink about 12 oz a day... liquids? i'm still on TPN?! It's been 4 months, I can't stand the TPN, we decrease the time and I try to eat what I can when I can. My weight is 318, d?@$ WLS! We double the meds, the phenergen is 4 times the dose it was when I had surgery, does anyone know this causes heart problems? We decrease the TPN, I can only eat right after I push the meds and I do it again right afterwards, then I pass out... weight loss is tough work, I manage to get down to 314. Somethings wrong, I feel sick, sicker than usual haha...my daughter is talking to the nurse at the ER, "no she feels really sick, her heart is skipping beats maybe? her blood pressure is up. look at her arm, do you think it's swollen? what's that black mark?" They tell me I have a UTI and send me home, its Monday. I can't breathe, i'm having a heart attack, I know it, its Wednesday and we're back at the ER, the doctor smiles and says its anxiety, take some Ativan and keep taking your antibiotic...are you kidding? I throw up the antibiotic, it stinks, I crush the Ativan and sleep for days. Its Friday and the nurse calls, "how are you" my arm hurts and its swollen, "GO BACK TO THE ER" I can't, I fall back asleep. Its Saturday and I can't find my wrist, my arm is a thick puffy balloon like they use to make balloon animals. My fingers won't bend, doesn't matter cause I can't feel them anyway, i'm sick, I vomit and try to push my meds, I get in 2ccs of saline and it feels like my arm is a water balloon...I push a cc and I think I see it literally filling up, theres a black gnarled line around my upper arm, looks like a barbed wire tattoo, thank God for WLS. I'm at the ER again, its Saturday night and i'm sure they'll admit me, they HAVE to pull the PICC and give me a new one, surely they'll see that, I can't breathe, please give me some Ativan and phenergan, i'm gonna puke again. A nurse comes in and says he's from Interventional radiology, doesn't even touch my arm but smiles and leaves, we hear him outside the door "you've gotta pull that PICC, it's really bad!" a tech comes in with an ultrasound machine and pushes on the outer part of my arm, over and over, slimy gel, pushing harder, my arm isn't quite so numb now, its killing me on the underside, my armpit aches and the inner portion of my upper arm feels like someone is firing a gun into it every time they touch me. "Good news!" the ER doc smiles and tells me its just a little superficlal blood clot...yay! all we need to do is apply warm compresses and it will go away, have some noroc for the pain...great, more crap I can't swallow. "What should I do if it gets worse? what if it swells up more?" don't worry "It's fine, no need to come back even if it gets bigger, warm compresses and you'll feel alot better" It's Monday and the weekend went by in a drug induced haze. I can't use my PICC, I crush the norco and ativan and try to stay asleep, no not asleep, blacked out, like anesthesia until the doctors office opens Monday. I tell the nurse, she sets up an appointment at Interventional Radiology for them to pull and replace the PICC on Tuesday, good, hopefully i'll die by then. Its 6pm Monday and I can't take it, I might be hallucinating, I know i'm dying, I moan and rock, i'm in the car, off to the ER again. I wait for hours while people scream and cry, everybody is taken before me, I pull my sweatshirt and cover my head, I moan and lick the blood from cracked lips, I can't even stand up to go to the bathroom and vomit, 4 hours later and they wheel me back. Nurse after nurse comes in to try to start an IV, "she's dehydrated and a tough poke" "I KNOW! she's so ill tho, what are we supposed to do???" check her feet, no veins, we're gonna have to go in thru the femoral.....God no, I can't remember if I have underwear on and they're gonna cut into my groan to find a vein. "Great news!" we found a cluster of blood clots under your arm, no not one, there are several vericose veins bulging out of your arm, the PICC went bad and they strangulated and now they have clots in them. You're gonna die if you throw one to your heart or lungs, we're starting the lovanox, you're gonna be fine. 3 days of terror, I'm admitted to the hospital and the doc upstairs decides she knows what I need, they pull the PICC from my grossly swollen arm and I beg for some dilauded "this isn't a painful procedure, you don't need anything for pain." and she teaches the student nurse how to yak=nk 4 feet of tubing and wire from my arm while I sob, my daughter cries and starts to yell. The doctor leaves, she won't come back or write orders, i'm sick, no pain meds or nausea meds, try some tylenol, f**** you. I cry and demand to see another doctor, I call my doctor and the oncall doctor screams at the charge nurse...they give me ativan and phenergan, my daughter yells and threatens, the nurses hate to come in my room. Wednesday morning is the first and last time I see my surgeon, he pops his head in and smiles "so your PICC is gone now, thats what happens" when you screw up and get a blood clot is what he doesn't say. I'll see you in my office next week and we'll talk about a feeding tube. What? I had WLS 4 and a half months ago... I cry and turn and face the window, I keep the shades down. I'm sick of this, I finally get to leave @ noon on Wednesday. I have a script for Warfarin and an order to have my blood drawn every day, I have no PICC line, no IV push meds, no TPN and my arm looks like I was going for a Popeye look. I sob on the ride home. When I go to the lab the next morning they stick me 6 times and still don't get enough to run the PT/INR to check my clotting times. I fall out of the car as I try to go inside, I just sit on the grass and contemplate throwing up on the lawn, I see the neighbor and when she waves I think I should strip off my clothes and just run shrieking down the street... I need a laugh, otherwise I just cry. I'm so depressed, I see my primary doc, he orders me oral nausea meds, a compression sleeve for my arm and listens to me cry. I tell him my heart is skipping a beat, he says "phenergan can cause permanent heart damage" f*** phenergan. It's 12 days since I left the hospital without a PICC. The last thing my surgeon said was that they couldn't find a reason for my symptoms, he even asked the doctors at a seminar in California and they were all puzzled, oh well, too bad for me. My weight is down to 300 lbs now, it was 312 when I left the hospital. I made the mistake of going back to the ER last week Tuesday because my chest hurt and I was coughing and that same shortness of breath and heart thing came back. they said I was fine and were sending me home when I looked the ER doc right in the eye and said "with all due respect, the last time you said I was fine I had a blood clot that almosgt killed me, please, can you just check everything to make sure i'm ok?" tears in my eyes, he smiles, lets run another test. Theres a shadow in my lung, likely pneumonia but we can't be sure the clots haven't moved. We'll keep you for observation but we won't admit you, you're probably fine buit we'll do some IV fluids and antibiotics to be sure. They take me upstairs, I know whats coming next, nurse after nurse tries to start the IV, IM pain meds, I ask for nausea meds at 6:30 am and by 2pm I still haven't gotten any. I can't stand it so I leave, they chase me and try to make me sign something saying if I die its my own fault. I get home and chew a phenergan, drink some lortab and pass out. My primary doc said he would figure out how to get me seen by a specialist, I won't return the calls from my surgeons office, if I could put a stop payment on his check I would but insurance has already paid his fee. Maybe he's right, there's nothing to explain my symptoms, I doubt that, my skin is grey and I look like a chemo patient because my long thick brown hair has fallen out in Patches and I have a kind of crazy eyed look to me. I'm hungry and thirsty, I think I look like I could be a victim of starvation but then I laugh because i'm still so fat. I knew the risks of the surgery, pulmonary embolism, DVT, sleeve leak, infection. I was a nurse for 10 years and took care of hospice patients who looked better than me. I signed on for a magic pill, a fantastic surgery that would finally help me get to a healthy weight so I could see my daughter graduate from medical school, get married and hold my grandchildren. I wanted to avoid diabetes and stop heart disease, funny how it all worked out. If you have experienced any of the pain, nausea, depression, sadness, fear, frustration, anger or disgust like I have, tell me your story and let me know i'm not alone, i'm not crazy and it does get better. :-)

BARIATRIC REALITIES: Causes of Obesity – What Factors can YOU Influence? (Part One of Three) I’m guessing most of us understand that the disease of obesity is a complicated one. There are a number of factors that contribute to obesity. Some of these factors you may be very aware of; others you may be surprised about. Some of the causes of obesity are things you cannot do anything about; other causes of obesity are things you can influence. It’s important to recognize the difference. Why? For starters, you can stop beating yourself up over the things you can’t do anything about. It’s also important that you focus on putting forth effort where it will get you the best results! It’s essential for both doctors and those suffering from obesity to have a mutual understanding of these causes of obesity and which people can influence, so that: 1) Doctors can develop or increase empathy for the struggles of those suffering with obesity. When doctors better understand that many people with obesity have struggles that go beyond fighting their biology which negatively impact their weight, the doctors can more compassionately and appropriately address these issues and refer patients to see other professionals, if need be. 2) People struggling with their weight can evaluate the numerous factors impacting obesity and work toward accepting those things they cannot influence. In addition, they can take responsibility for putting forth effort into those aspects of their struggles with weight that they can positively impact. All righty, then! Let’s look at three of the main contributing factors of obesity and then talk about each one, emphasizing what, if anything, each person can do to have a positive impact on their weight. Genetics Culture and Environment Metabolism Genetics Obesity definitely has some genetic determinants, as researchers have clearly discovered. If there are a lot of obese people in your extended family, you have a better chance of being obese than someone from a family without a history of weight problems. Although there are many more obese people in the current population than in previous generations, this cannot all be linked to genetics. The genetic composition of the population does not change rapidly. Therefore, the large increase in obesity reflects major changes in non-genetic factors. Listen to this… According to the Centers for Disease Control and Prevention (2002): “Since 1960, adult Americans have increased in height an average of 1 inch but have increased in weight by 25 pounds.” So in 50 years, the human species has grown taller by only an inch but heavier by 25 pounds. That tells us there is more than genetics influencing weight gain in this country. PATIENTS: Even if you have a genetic predisposition for obesity, there are other factors involved, including the food choices you make and whether or not you exercise on a regular basis. Some of these behavioral factors are habits learned in your family, so what appears to be a genetic predisposition may be a familial pattern of unhealthy habits that can be broken. DOCTORS: Remind yourself that patients cannot “eat less/move more” and have any effect on their current genetic makeup. Acknowledge to patients their genetic predisposition for obesity in a compassionate manner. Help to gently educate them about the factors affecting their weight that they can influence. Do so in a “firm and fair” way, providing encouragement rather than admonishment. Culture And Environment In addition to one’s genes, a person’s culture and environment play a large role in causing people to be overweight and obese. The environment and culture in which you were raised impacts how and what you eat. Some people were taught to eat everything on their plate and couldn’t get up from the table until they did so. Others never sat at a table for a meal but watched television while they ate. Some kids are fed well-balanced meals while others exist on fast food or microwaved mac and cheese with hot dogs. In some cultures, simple carbs make up a substantial part of every meal. In other cultures, fruits and vegetables are consumed regularly. When you are a child, you’re not in charge of buying the groceries or providing the meals. You did learn, however, about what and how to eat from those with whom you lived. And guess what that means? How you feed your children is what they will think of as “normal” and will most likely be how they eat as adults. (I’m always concerned when weight loss surgery patients tell me their kids are “just fine” even though they eat the same unhealthy foods as the obese parent. It’s only a matter of time before the kids start to gain weight and have health problems as a result of their unhealthy diet and learned eating behaviors.) PATIENTS: Although your genetic composition cannot be changed, the eating behaviors you learned in your family, from your culture, or developed on your own can be changed. You alone now determine what kind, and how much exercise you do and what and when you eat. Your behavior is completely within your control. Work toward accepting the fact that you are in charge of, and responsible for, your behavior and every food choice you make. For every choice, there is a consequence, positive or negative. And NO EXCUSES! It doesn’t matter how busy you are, whether you get a lunch break at the office or whether you have to cook for a family. Even if you have five kids in different activities and spend your life taxi-ing them from one place to another, you are the adult and you are responsible for how you eat and how you feed your children. It takes a very responsible person to acknowledge, “Although I have a genetic predisposition for obesity, I am responsible for making healthy choices about my eating and exercise. For me and for my children.” Focusing on what you do have control over rather than that over which you are powerless, leads to believing in your capabilities. So take charge and make positive changes happen! DOCTORS: Engage your patient in a discussion about the cultural and environmental factors that helped shape their current food choices and exercise behaviors. Empathize with them, noting they are going to have to put forth consistent effort to change years of bad habit formation. Encourage them to get support, whether it is from friends with a healthy lifestyle, a health coach, a personal trainer, or the use of free online exercise videos. Help them set a short-term, reasonable goal and set an appointment with you to follow up. Remember, docs: That which is reinforced is repeated. Reinforce even small steps forward you see in your patients. This can go a long way in encouraging them to continue making healthier choices. A step forward is a step forward. Notice and praise every single step forward your patient makes! Resting Metabolic Rate Resting Metabolic Rate (or RMR) is simply the energy needed to keep the body functioning when it’s at rest. In other words, RMR describes how many calories it takes to live if you’re just relaxing. Resting Metabolic Rate can vary quite a bit from one person to another, which may help explain why some people gain weight more quickly than others. And why some people seem to find it more difficult to lose weight than others. There are some factors related to metabolism that you can’t change, but there are actually some that you can influence and change. Things you cannot change about metabolic rate: Metabolic rate decreases with each passing decade, which means the older you are, the slower your metabolism gets, making weight loss more difficult. Sorry ladies - Men generally have a higher metabolism, meaning they burn calories more quickly than women. You can inherit your metabolic rate from previous generations - which can be a benefit… or not. An underactive or overactive thyroid gland can slow down or speed up metabolism. Some things you can do to influence your metabolism and burn more calories include: Eat small, frequent meals. Drink ice water. You can boost metabolism temporarily with aerobic exercise. You can boost metabolism in the long run with weight training. PATIENTS: I’ll bet you didn’t there was much of anything you could do that would increase your metabolism. I’m hoping you choose to implement the ways you can help your body burn more calories. And what do you know? They are completely consistent with healthy post-op behaviors that you’re supposed to do anyway: 1) Eat small, frequent meals. CHECK. 2) Drink water (so add ice and boost that RMR). CHECK. 3) Engage in exercise, both aerobic and weight bearing. CHECK. There’s no reason NOT to anymore! (That’s a slogan from a really old commercial…) The point is, your specific RMR is both something that is unique to you, and that will slow down with age, is gender-influenced, and can be affected by thyroid issues. Accept the things you cannot change and DO the things you can to get the most out of your own, unique RMR. You DO have choices! Opt not to make excuses and JUST DO THE THINGS YOU CAN! DOCTORS: I’m pretty sure that educating patients is in your job description. Even though you have an allotted set of minutes during which to accomplish all your goals with a patient, point out the ways they can boost their metabolism while you’re looking into their ears, or hitting them on the knee with that little hammer. Present it as a, “Hey! Guess what I was reminded of today?” sort of thing. It’ll probably be absorbed better than a mini-lecture. Leave yourself a sticky note in the patient’s folder to bring it up in your next session… and then a new educational point for the next meeting, along with the small goal you set with them so you can be sure to praise them for their efforts! Patients and Doctors and all Allied Health Professionals: We need to work together to do the following: 1) End Fat Shaming 2) End Blaming 3) End Lecturing 4) Encourage reciprocal AWARENESS and ACCOUNTABILTIY 5) Encourage reciprocal EDUCATION and DISCUSSION 6) Encourage reciprocal GOAL-SETTING and FOLLOW-UP Stay tuned for Part Two of BARIATRIC REALITIES: Causes of Obesity – What Factors can YOU Influence?

Prednisone is quite possibly one of the worst things you could put into your system. When I was a pharmacy tech; we would go out of our way to talk to doctors to find alternatives for it. Perhaps your PCP can give you something else? Besides weight gain, it has some terrible side effects, especially after a procedure like this. What you're experience is quite normal for this medication.

I told my boss I was having my gallbladder removed. Some people take longer to recover an others. I don't think you have to tell HR what kind of surgery you're having. The doctor does have to complete the FLMA/ short term paperwork. Mine only listed the types of symptoms I was having weight gain, back pain, ... (very generic stuff). If you do end up saying something to HR they can not tell your boss or anyone else because of HIPAA regulations.

Agreed with the above statement. There is nothing in the OP's statements that suggest he is using "tough love" or saying something right in the wrong way. He is emotionally and mentally abusive, plan and simple. Telling your spouse what they can and can't eat is controlling behavior that is very typical in abusive relationships. The OP states that she is completely dependent on him, which may be circumstantial, but it is another very common aspect of abuse. Make them dependent on you, and they can't leave. Verbally beat them down to make them think they aren't worthy of their love, or anyone else's, and they stay because they believe they are lucky enough to have anyone. While her husbands actions and statements might not seem like huge red flags flashing "Abusive person alert!" these things tend to escalate. It never goes from 0 to 100 over night, it's a relatively slow and gradual shift. To the OP - I am very very sorry that your husband is treating you this way. I am very happy to hear you are going to get counseling, I think that is a positive step in the right direction. Please know that there are a lot of support groups out there that can help you for both your spousal issues and your health/WLS needs. I find it very interesting that while he is "disgusted" by your weight, he does not support you in your decision to get WLS which would help you to lose the weight. Also, it seems like maybe a good portion of your weight gain was health related? You mentioned applying for disability benefits, I just wonder if the weight gain was because of overeating/food addiction or because of your health problems. Either way, I truly hope that it helps you find what you need and gets you to a better place.

Hi! I'm new here. I went through about six months of the process for WLS about four or five years ago, but I didn't lose weight during the six-month pre-op phase, so things stopped. I had also been running across many horror stories (mostly on social media), which made me think that maybe it was for the best, anyway. Well, five years later, I weigh no less than I did back then. I have a huge list of co-morbidities, some of which are related to weight, some I had prior to my weight gain, and a couple that cause weight gain. I'm on over ten meds a day, and I'm only 42 (well, 43 in a few days). I feel like I'm falling apart. I think the last straw was that my oldest son got married in June. I saw myself in the wedding photos. I ruminated on that for a few weeks, and then woke up one morning and decided I was sick of obesity and everything that goes along with it. So, I asked my PCP for the referral, and I have my first appointment in September. Because I did six months of their program and because I read their patient handbook, I have a better idea of what is expected of me than I might otherwise. But I'm angry. I'm angry that I'm going to have to give up my favorite foods or accept sugar-free versions (and I can't stand artificial sweeteners; I'm actually really worried about it because most protein drinks/powders seem to rely on them). I'm angry that I won't be able to eat like everyone else. I'm angry that I'll have to go through so much physically. I'm angry that I have to lose weight to have surgery to help me lose weight that I need because I can't lose weight on my own. And I'm angry that it's such a long process. If I have to do it, tell me what to do, let me sulk over it for a few days, and then let's just do it. I know that's not how it works, and I don't know why I'm so angry. I have no one to blame but myself for being in this mess. I made a list of positives that could come from the surgery, and I got a full two pages. So I shouldn't be angry. And I realize my reaction shows that I have inappropriate attitudes toward food. I've discussed it with my therapist, and we're going to work on it, but I guess I was wondering if anyone else dealt with this and what helped them get past it. TIA!

I was diagnosed with type 2 diabetes six years ago. The oral meds I took for this time contributed to a 20 lb weight gain over those 6 years. In January 2011, my doctor broke the news that my A1C was too high at 8.4%. I was going to have to increase my meds again. After I balked at the idea of more meds, my doctor suggested that I consider lapband. My wife was banded 5 months earlier in Mexico, so we went off to Mexico again, this time to get me banded. In 5 months, I have lost 60lbs, A1C went from 8.4 to 5.8, BP from 120/75 to 95/60, triglycerides from 335 to 133, cholesterol from 180 to 135. I have much more energy now. I can't believe that I may have to figure out how not to loose more weight in the very near future. That will be a great problem to have. My doctor believes that I can go medication free at my next visit in September.

Weight gain immediately following surgery is quite common and absolutely nothing to worry about. It can and does happen but it won't last. Focus all of your attention on following the protocol to the letter and stay away from the scales for at least a week, two would be even better. You're gonna love the new you!!

I will be praying for you! I understand the BP issue. I have been on BP meds since 1999 after I started having children. I am hoping to be removed from them too. It is a roller last when they change the meds at least it makes me tired. I too am thinking mine is too strong and will have to wait to see him to make the change or send me to the Dr. I hope you get off all the meds and as they remove you, your body transitions smoothly. Thanks for your kind words!!! I can definitely relate to you because I began having issues with hbp after I had my oldest daughter. After being on the meds to control it for so long we must be carefully weaned off of it because our doctors must see our pressure consistently low over a period of time. When I was healthy I only needed a low dose of meds to control it but over the years as weight gain and stress became an issue I needed more meds at higher doses just to keep it at 130/80. I know I will have to see both my PCP and cardiologist so they can work in tandem and make the right decision for me. I pray that we all will reap the benefits of our decisions to have WLS and live healthier lives. I'm praying for you too, God bless.

Dont smoke. My experience.I started at 4 months post op.Without food life felt boring.Needed something I could do and started smoking again.At 5 months I had an ulcer.I stop till my stomach felt better then start again,stop and start...Then we found my vit C and vit A is now super low.Dr. says might just be the combination of the surgery with the smoking but my vits are affected by the smoking. OK I got it.I stopped last week and boy is it difficult to not gain weight now. Point is 1.for some of us our stomachs just dont like the smoking anymore. 2.You will just have to stop at some point anyway and stop smoking usually goes with weight gain because smoking does increase metabolic rate and we tend to eat more to satisfy the oral issues when we quit. While you are not smoking,DONT DO THIS TO YOURSELF.Its harder to stop post surgery than before.

Hi everyone! I'm interested to hear how you're faring! I've been doing pretty well. Had been maintaining at about 148 for several months, but then in October, the docs removed half of my thyroid. My weight went up steadily 2-3 pounds a week for about a month. Now I'm steady at about 159. The endocrinologist says it wasn't the surgery, but I have my doubts. It was either the world's biggest coincidence that my honeymoon period and malabsorption ended the same week as that surgery, or my 1/2 thyroid isn't as effective as my full thyroid was. I won't have a follow up with him for labs until next month, but at least the weight-gain has stopped. I was really panicked that month when it was going up steadily. I had actually gotten into the 160s, but I was carrying a lot of fluid (to the point that my legs were "weeping"), so the cardiologist increased my diuretics. Other than that, enjoying life with my new, smaller bod!

OMG ..... If it's the Depo Shot..... STOPPPPPPP!!!!!! Years ago they removed the IUD and started me on the Depo... I gained 50lbs in one month.... it was horrible. Look into the Nuvo Ring. It was the best Birth control EVER.... I tried it all, the Pill (nausea all the time), diaphragm (terrible bladder and yeast infections), Condoms with and without foam (latex-sensitive), IUD (terrible bleeding), the shot (major weight gain, but i didn't bleed), then the Ring. It was the only one that worked for me. Then in my 30ies i had a partial hysterectomy.... OMG it was like the heavens parted and the angels were singing.... At 50 i started menopause and it sucks Ass..... I started gaining weight and couldn't control it, no matter what i did. So i decided enough was enough and paid OOP for a revision to the sleeve. Note: All of the birth control was before i was banded in 2009 SW: 232 LW 143: Removal 2017 at 143. Sleeved 8/28/19 at 173.5, today 131.4

I'm not going to post my weight (gain or loss) for awhile. I really need to concentrate more on other areas and the scale is driving me mad. So, I'm going to put the scale in the closet and, if it's ok, I'll post my weight again in a couple of weeks.

Hi All! I'm 51, born and raised in Massachusetts, and married 28 years. Like so many of you I've battled being overweight ALL my life. I have NO "skinny" pictures in my family album. "Chubette" was a word I grew up with (pre "plus size" lingo for those yunguns out there...). I have lost over 100 pounds TWICE in my lifetime with the disappointing and devastating weight gain occuring within two years afterward. (Neither time did the 100 pound loss actually put me in the category of "thin".) There have been MANY MANY in-between weight losses ranging from 10-60 pounds at a time, NONE of them have obviously "stuck"! :faint: That is why I AM SO EXCITED :biggrin1: to DARE to BELIEVE that THIS time it will stay GONE FOREVER! I am not so ignorant to believe that it won't come with hard work and persistence, (As my history shows...) but what I needed most before banding was HOPE! Hope that THIS time will be different! That THIS time, even if not "thin" by the world's standards, I CAN BE less heavy and healthy (and STAY that way!) I read about the lap band on the internet years ago when I was in behavioral counseling for weight loss (which didn't work, obviously)... the hospital was just introducing the gastric bypass at the time which was offered to me, but I refused. I told them, SOME day, when this band comes to the U.S. (they had never heard of it) MAYBE I'll consider it! Well, SOME day has finally arrived for me and I feel wonderful, grateful, and HOPEFUL! A great BIG thank you to everyone who posts, I have "devoured" every wonderful word over the past couple months! This is a place of HOPE and I so appreciate you all! :clap2: :clap2: :clap2: :clap2:

A friend of mine had gastric bypass surgery in Greenville NC. She did so well that I started to think of it as an option for myself. I mentioned it to my family practice doc in New Bern NC. He told me that he had heard really good things about the weight loss surgeons in Morehead City NC which is a lot closer to my home in Havelock NC. I checked into it and attended a seminar . I decided on lap band and the rest is history. It was a great decision for me. I have lost 98 p but ounds so far and am getting close to reaching my goal. I look and feel better than I have in years. I still have the fibromyalgia that contributed to my weight gain but it's easier to deal with without all of that extra weight ! My surgeon and his PA and the rest of his staff are really helpful and supportive !

@@ShelterDog64 Thank you! I guess it was a bit touchy for me since she has also gone through WLS as well. I think my surgeon's office is ultra conservative/scare tactics as it relates to paving the way for success/failure prevention. On the one hand, I get it and I don't want to be coddled. I need to be afraid of slipping into habits that led to my problems because surgery does not prevent future weight gain. On the other hand, at early stage I kind of need a little more sunshine up my @ss so to speak.

No I won’t he fired, and I was vague about the company as I don’t want to promote products or come accross as doing so (just like wls having a negative connotation) sometimes mentioning companies products it’s interpreted incredibly wrong so I just want to keep that part out of it. But my audience is very large and my organization is very large and unfortunately they have seen me gain about 60lbs over the last year! I do take supplements on a daily basis but they aren’t for weight loss though some it does help them with that. Me not so much, but also I was on adderal for years for adhd and came off of that about 15 months ago hence the major weight gain. It’s for sure tricky but I am very very honest with my audience and try to keep it real for them which is why I’m nervous to share this but at the same time it’s such a personal journey I am for sure nervous to break down the barrier on this topic... hope that explains a little.... I think I’m just scared of how it will all be interpreted.

Worth reading. Portion significant to this conversation are in bold. "Why Carbonated beverages are "TABOO" after Bariatric Surgery" By: Cynthia Buffington, Ph.D Did you drink carbonated soft drinks prior to your Bariatric surgery? Do you still consume carbonated soft drinks? Were you advised by your surgeon or his/her nutritional staff NOT to drink carbonated drinks after surgery? Do you understand why drinking carbonated beverages, even if sugar-free, could jeopardize your weight loss success and, perhaps even your health? A carbonated beverage is an effervescent drink that releases carbon dioxide under conditions of normal atmospheric pressure. Carbonated drinks include most soft drinks, champagne, beer, and seltzer Water. If you consume a soft drink or other carbonated beverage while eating, the carbonation forces food through he stomach pouch, reducing the time food remains in the pouch. The less time food remains in your stomach pouch, the less satiety (feelings of fullness) you experience, enabling you to eat more with increased risk for weight gain. The gas released from a carbonated beverage might "stretch" your stomach pouch. Food forced through the pouch by the carbonation could also significantly enlarge the size of your stoma (the opening between the stomach pouch and intestines of patients who have had a gastric bypass or biliopancreatic diversion). An enlarged pouch or stoma would allow you to eat larger amounts of food at any one setting. In this way, consuming carbonated beverages, even if the drinks are diet or calorie free, may cause weight gain or interfere with maximal weight loss success. Soft drinks may also cause weight gain by reducing the absorption of dietary Calcium. Dietary calcium helps to stimulate fat breakdown and reduce its uptake into adipose tissue. Epidemiological and clinical studies have found a close association between obesity and low dietary calcium intake. Recent studies have found that maintaining sufficient amounts of dietary calcium helps to induce weight loss or prevent weight gain following diet. The high caffeine in carbonated sodas is one way that drinking carbonated soft drinks may reduce the absorption of calcium into the body. Studies have found that caffeine increases urinary calcium content, meaning that high caffeine may interfere with the uptake of dietary calcium into the body. Keep in mind that one 12 oz. can of Mountain Dew has 50 mg of caffeine, and Pepsi and Coke (diet or those with sugar) contain 37 mg of caffeine each. Colas, such as Pepsi and Coke (diet or with sugar), may also cause calcium deficiencies from the high amounts of phosphoric acid that they contain. Phosphate binds to calcium and the bound calcium cannot be absorbed into the body. Both animal and human studies have found that phosphoric acid is associated with altered calcium homeostasis and low calcium. Drinking carbonated beverages may also reduce dietary calcium because these beverages replace milk and other nutrient-containing drinks or foods in the diet. Several studies report inverse (negative) relationships between carbonated beverage usage and the amount of milk (particularly children) consume. Carbonated beverages, then, may reduce dietary calcium because of their high caffeine or phosphoric acid content or because drinking such beverages tends to reduce the consumption of calcium-containing foods and beverages. Such deficiencies in dietary calcium intake may be even more pronounced in Bariatric surgical patients. Calcium deficiencies with Bariatric surgery have been reported following gastric restrictive and/or malabsorptive procedures. The reduced amounts of calcium with bariatric surgery may occur as a result of low nutrient intake, low levels of Vitamin D, or, for patients who have had gastric bypass pr the biliopancreatic diversion (with or without the duodenal switch), from bypass of the portion of the gut where active absorption of calcium normally occurs. Drinking carbonated beverages may further increase the risk for dietary calcium deficiencies and, in this way, hinder maximal weight loss success. For all the reasons described above, including calcium deficits, reduced satiety, enlargement of pouch or stoma, drinking carbonated beverages, even those that are sugar-free, could lead to weight gain. Carbonated beverages that contain sugar, however, pose a substantially greater threat to the Bariatric patient in terms of weight loss and weight loss maintenance with surgery. Sugar-containing soft drinks have a relatively high glycemic index, meaning that blood sugar levels readily increase with their consumption. The rapid rise in blood sugar, in turn, increases the production of the hormone, insulin. , that acts to drive sugar into tissues where it is metabolized or processed for storage. High insulin levels, however, also contribute to fat accumulation, driving fat into the fat storage depots and inhibiting the breakdown of fat. Soft drinks with sugar are also high in calories. An average 12 oz. soft drink contains 10 teaspoons of refined sugar (40g). The typical 12-oz. can of soda contains 150 calories (Coke = 140 calories; Pepsi = 150; Dr. Pepper = 160; orange soda = 180; 7-up = 140; etc.). Soft drinks are the fifth largest source of calories for adults, accounting for 5.6% of all calories that Americans consume. Among adolescents, soft drinks provide 8%- to 9% of calories. An extra 150 calories per day from a soft drink over the course of a year, is equivalent to nearly 16 pounds and that weight gain multiplied by a few years could equate to “morbid obesity”. In addition to the adverse effects that carbonated drinks have on weight loss or weight loss maintenance, carbonated beverages may also have adverse effects on health. Soda beverages and other carbonated drinks are acidic with a pH of 3.0 or less. Drinking these acidic beverages on an empty stomach in the absence of food, as Bariatric patients are required to do, can upset the fragile acid-alkaline balance of the gastric pouch and intestines and increase the risk for ulcers or even the risk for gastrointestinal adenomas (cancer). Soft drink usage has also been found to be associated with various other health problems. These include an increased risk for diabetes, cardiovascular disease, kidney stones, bone fractures and reduced bone density, allergies, cancer, acid-peptic disease, dental carries, gingivitis, and more. Soft drinks may, in addition, increase the risk for oxidative stress. This condition is believed to contribute significantly to aging and to diseases associated with aging and obesity, i.e. diabetes, cancer, cardiovascular disease, liver disease, reduced immune function, hypertension, and more. From the above discussion, do you now have a little better understanding of why your Bariatric surgeon or Bariatric nutritionist advised you NOT to consume carbonated sodas after surgery? Your Bariatric surgeon and his/her staff want to see you achieve the best results possible from your surgery – both in terms of weight loss and health status – and so do YOU. Consider the consequences of drinking such beverages now that you understand more clearly why such drinks are “Bariatric taboo”.

ok guys, I need help! I am holding steady at the same weight. I am mostly eating the right things and now walking 2 miles a day 4-5 days a week and going hiking on saturdays for at least 2 miles, sometimes more. I write down everything I eat and I'm going back over the last couple weeks. It seems I get on average of about 1000-1200 cal a day give or take (if I stay away from peanut m&ms!). I eat about 200 cal every couple of hours for about 5 mini-to-avg meals a day. My main focus is to get enough Protein because my biggest fear is my hair falling out. I do take a couple of meds that are on my doctor's list to cause weight gain so wondering if this is an issue also... I've had 1 fill but now have little restriction and just keep my meals small. Am I eating too much? What is the average calories per day you guys are eating? give me some ideas of meals you eat?

Hi all - I am a newbie in that I am not banded but new to this forum. I need to lose about 110 lbs and I'm sure like all of you, have tried every darn diet known to man, and lost the same 40 lbs over and over again, and gained each time afterwards. The last thing I did was go to BMI (Bariatric Medical Center) here in Ottaa. The people and doc there were great and I learned how to track calories, etc but ultimately gained back everything and more. My knees are aching and I am having trouble staying on my feet for long. I'm seriously thinking of banding but I am terrified of getting it and having it not work... and of course getting more weight gain. do any of you regret doing the lapband. Is it worth the money? Anyone in Ottawa do the surgery? (I haven't found anyone.) How about the clinic in Montreal? I'm sorry this is rambling. Any replies would be appreciated.

marivan. I also do the dance. On Saturday I was 225.4 and today I am 230 but I know on Saturday, I will be around 228. I seem to show a real low weight, the body responds by retaining water then it dumps it to another low and the cycle continues. I no longer get depressed because I record all weighins. I tried weighing only when I went to my doctors but I got depressed as he told me I gained then I lost. So by keeping track, I can see for myself how my body loses weight. One thing I do know, at the end of the month I am always a bit less. Keep on smiling because when you show weight gains I bet a bottom dollar that is an indication you have lost weight. LOL In time the loss will show up.