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I had the sleeve surgery 9/26/16 and did well with it till I had my gallbladder removed in 2018 then I developed severe gastric reflux. My surgeon found that my bile duct got stuck open after they removed my gallbladder. With the bile constantly running in my sleeve it eroded it causing some precancerous changes. Once my insurance approved for a second surgery we went with changing over to a bypass in June of 2020 to fix the problem. I was very happy that we ended up doing the revision because I no longer had to sleep sitting up and my stalled weight loss finally started back up again and I was able to continue my weight loss journey. Fast forward to the present of this year I have been holding a good weight of between 137 to 145 lbs and no health issues really I just still struggled with dumping a lot cause my new pouch didn't always like food but I maintain weight with the help of shakes. Then in August of this year for some reason I just started getting where I didn't feel well and I dropped like 17 lb like it was nothing. I contacted my surgeon because I was concerned because of how weak and tired I had felt and I've noticed like vision changes my muscles or shrinking rapidly I was becoming dehydrated and all kinds of new things that I wasn't prepared for. My surgeon ordered a upper scope and a lower which come back very good. My lab showed that I did have a couple vitamin deficiencies so I increased my vitamins I actually have to go redo my labs here because I also ended up getting sick and went in the ER in my liver counts were high and they never been high before so we're checking those this week. But now I'm having a harder time eating and getting my body to absorb my nutrition even the protein shakes aren't helping maintain my body weight I am dropping weight still pretty rapidly I'm down to 124 lb now and my immune system seems to have been weakened because I get sick super easy and I try to stay away from other people otherwise that makes it harder on me and I guess get wiped out. I am currently waiting for my surgeon to call me back because I'm getting more concerned about how we come getting it's getting harder to do every daily things such as washing my hair folding my clothes and putting them away my muscles hurt and they're tired and weak and they get all cramped up. I'm blessed to have this surgery but I was never expecting that I would get this new very weird complication of just not being able to eat very well and to maintain weight. I trust my surgery team he's wonderful I'm hoping they can figure this out I'd really do not want a feeding tube or a PICC line I work with the public and that's even getting hard to do and I've almost thought about applying for disability until I get this figured out so I can quit losing weight by exertion. I'm just wondering is anybody else going through something like this or they just out of nowhere started losing weight again and they just can't seem to get it to stop. I'm worried not only for myself but for my family because my kids are still pretty young and I'm not ready to leave this world yet I still have a lot to live for. Hw: 268 SW 221lbs LW 124lns Height 5'2

The first three weeks - I won't be coy here.... were really really hard. Having bones sawed off, and replaced and drilled into place is really painful; at any weight. However, once I got to being able to move around more - once the 34 staples were removed after just over 2 weeks; I was able to start moving around more. I totally gave up on the narcotics by the end of week two. I couldn't hold them down well, and the only thing I could eat was.... basically toast with a bit of jam. I finally at about the middle of week three could start walking a bit outside instead of around my dining room table - and progressed from taking 300 steps a day to over 1000 in that third week. At week 6 I am now able to walk for about 10 minutes with a cane, twice a day, and am able to take care of myself, the house, a flock of chickens (less any heavy lifting), the dog, parrot and reptiles. I weigh basically almost half of what I did at my heaviest. With this surgery,.... right before it, I was very limited in my ability to walk. I had gained 8 pounds from my lowest. After surgery at week 2 I was up another few pounds - Surgeon told me this is normal from how much IV fluids I was getting to keep me going. I am frankly eating A LOT of healthy foods right now. On dr's and nutritionist suggestion to build back muscle, nerve and bone loss. I am told that in another couple weeks I will start to lose the weight again. I am not worried, and I can hang with the process. I am walking about 4,000 to 5000 steps a day - over what I should be for my age and where I am post op.

This is amazing news! How does it feel now compared to immediately post op? Do you feel like you are healing faster at your current weight? Speedy recovery

For the first time in years, I'm under 200 pounds. Woo hoo. Lost 34 pounds pre-op and now 24 post-op. Surgery was on October 2nd. Weight loss has been slower than I expected, but my nutritionist said that I have lost 48% of my excess weight and am right on track. Yay!

I made it past 100 pounds lost! 11 more to go until I get to my goal weight of 150

I made it past 100 pounds lost! 11 more to go until I get to my goal weight of 150

I was recently converted from a sleeve (6-10-2013) to a RNY (11-7-2023) because of GERD. Getting insurance to cover it took 8 months. 4 appeals. And Multiple calls and emails all the way up to the VP of the company. I work in medical education so I fought and fought and fought and finally proved they had an immense amount of bias towards obese individuals. They kept denying me because I "gained weight" and "just want to lose more weight" that I "don't have GERD". In that 8 months of proving I have GERD I had to have an EGD, Barium Swallow, Stress Test, Colonoscopy, and a PH Monitoring study (that was the really crazy one).... and they were positive for GERD. They kept insisting that no they weren't positive and if I just lost weight I wouldn't have heartburn. When I had my first sleeve I was 380 pounds I got down to 170 pounds in 2017. In 2022 when I started the program to get the revision I was 220. So yes I had gained some weight but NO I hadn't regained all my weight. My entire experience has been very eye-opening how quickly someone in insurance will deny obesity as a medical condition and say it is a lifestyle choice. Especially when the entire point of the conversion was to fix GERD and not lose weight! If you seek to have the revision my advice is keep all the framing on GERD. Don't even reference weight or weight loss. It has to be for GERD. Study that insurance companies weight loss surgery policy and reference it often. It is best practice to convert a sleeve to RNY to fix GERD. And craziness I had the conversion and haven't had GERD once since! Don't let them tell you no. If the tests prove you have GERD get the conversion.

hi i was wondering if anyone has been to kings college hospital london in dubai for weight loss surgery if so what was there experience as i a thinking of using them i would really like some feed back much obliged.

For me it was twofold. The change that made the biggest difference was increasing my electrolyte intake. Lucozade/Gatorade and the like can help with the dehydration and electrolyte imbalance some, but look for other electrolyte supplements. In the US, there's a brand of drink powder called Liquid IV that has helped me. More of the needed minerals and less of the artificial sugars and flavoring, and there may be something similar where you are (I noticed UK beside your user name). That being said, make sure that whatever fluids you are taking aren't diuretics that will cause dehydration. Coffee, tea, and drinks with caffeine can cause your body to flush more fluids out, and take electrolytes with it! If you do have to have a drink like that, be sure to balance it out with 2x the volume in water throughout the day. Like if you have 250ml of tea, try to aim for an additional 500ml more in water afterwards. The other change for me, while not as dramatic in reducing the dizziness, was that I was on medicine for high blood pressure. I met with my physician and he reduced my dose in half, and that seemed to eliminate the light headed feeling I had when bending down to tie my shoes. Other medications can cause this when its dosed in higher quantities than what your body needs, so as you lose weight, these may need to be adjusted. Good luck and hopefully you can get this resolved soon!

Hi Alex. Allow yourself grace. Yes easier said then done but your mind and body are all adapting to this new rapid change. No one is perfect! And you made the most important decision you could and decided you wanted to take back your life. And are giving yourself a great gift of adding years to live. I don't know if this will help but remember one minute at a time or moment at a time. We are human and mistakes are okay and you realized that and moved on. MLC3409- well said and I feel you both one all of that year robbing. I am 35 and have a 7,4,and 1.5 yr old and feel this as well. Especially the yoyo weight loss effort I took with the 7 and 4 year old. Robber time from them when I just ended up back at my regular weight again. But now we move forward with a better choice to keep this weight loss and enjoy life more. We are all here for support. Keep in touch!

Hey Alex! I’m so glad you took the steps towards a healthier life at 31. I have been struggling with weight for my whole life. I have raised two kids, limited with things I could do with them. Ji feel days I have robbed them of memories that we could have made together. Now here I am at 55 and I ,reading your post, feel everything you’re feeling. I now have two grandchildren and the first time I took them to the fair and I was not able to go on the rides with them. It was a flashback to not being able to do things with my kids. So I took the leap too. My surgery is 12/27. sorry got sidetracked, yes the liquid diet is hard. Don’t be so hard on yourself for a slip of having a piece of cheese. The important part is you didn’t binge! That slip up is in the past. What you do today is what is important. Start over. I have taken a new thought on food. Everything I ate yesterday is done. My choices and decisions today is what is important. Find something to keep you busy. If you feel like “slipping “ take a walk then come back. Take a drink of water, shake, or make a smoothie. I have downloaded some mind games that take a lot of thinking. I will sit and play the game and before I know it time has past and it is either meal time or bedtime. I am focusing on the restrictions are only for 8 weeks. Two pre and 4-6 post. I keep reminding my self it is 8 weeks out of the 8+years I have to enjoy my new life! sorry for rambling. Wishing you the best with your surgery

Hello, My name is Alex and I am scheduled for the gastric sleeve procedure on 12/18/23. Growing up I never had a problem with my weight; as a matter of fact I was very thin. Due to changes in life and past trauma, I used food as a coping mechanism. I ballooned from 160 pounds at 18 years old to 475 pounds by the time I turned 31. I was "content" being overweight because I refused to deal with it. At the behest of my wife, I begrudgingly scheduled an appointment to be seen by a primary care physician for the first time in years at the height of the pandemic. At this appointment, I weighed in at 475 pounds and was diagnosed with high blood pressure... extremely high blood pressure. This made total sense as I couldn't walk very far without being out of breath, I couldn't go up steps without sweating and having my heart pounding, and I couldn't play with my nieces and nephews. I was prescribed blood pressure meds at 31 years old and told that if I didn't make significant changes and lose weight, I was staring down an early death. That was the kick in the ass I needed. I immediately got a gym membership, downloaded a calorie tracker, immediately made improvements in my diet and dove in head first. Over the course of the next year and a half I lost nearly 100 pounds through diet and exercise alone. I knew that to get to my goal weight though, that I needed more tools.... or a more powerful one. So I was seen by a bariatric provider and over the course of many months was approved for sleeve gastrectomy and was scheduled for surgery. I am currently on the liquid diet and I am struggling. I am dying for flavor... the protein shakes, cottage cheese, greek yogurt, and jello that have been my diet for the last three days are not cutting it. I've made a few mistakes... a piece of cheese here or a nibble of chicken there. I am striving for today being a good day.. but it has been hard. I am constantly cold, I'm less tolerant of daily B.S. than I normally am, and am just now starting to not feel as irritable as I have the last few days. I am looking forward to having this procedure done, but I am nervous that I won't lose enough. I'm nervous that I'll ruin it or some other nonsense I keep telling myself. After being overweight for so long its hard to imagine not being as large as I am. I am looking forward to a healthier life, the ability to play with my nieces, nephews and daughter, and being in more control of my life. Thank you for reading this very long post and I look forward to chatting with you on this journey!

How wonderful for you. And congratulations on maintaining your weight too - inspiring! I remember my mum saying how horrendous the pain was with her knee reconstruction (she had both done at once - yikes). She was on opioids for ages & iced her knees three times a day for a couple of months. Hope your pain subsides soon & you have a speedy recovery.

I wish I knew what they have planned. They are supposed to call me to explain, but so far the only person I've spoken with is the guy who answers the phone, and he probably wasn't supposed to tell me anything. He just said, "unfortunately, the center is closing, so..." The worst part is, I've been a patient there for almost 7 years, doing nutritional and medical weight loss. I love my endocrinologist there, and the nutritionists, the staff. If they are losing their jobs, I will cry. And they are always so busy I don't see how they can afford to close. I am so mad because I had a chance to move my surgery to right before Thanksgiving, but I had to pass because it was too last minute for figuring out the childcare. Now I'm kicking myself. Literally, my insurance approval is in and everything. I have a pantry of protein powders and a bookcase of bariatric cookbooks. I have watched every video on the planet. I just needed my final pre-test, which was supposed to be next week. My mom had booked a hotel in Harvard Square to be close by the night of the surgery and take me home the next day. The kids would be off school for winter break. Now I have no idea where anything stands. I will still have my insurance for January because my husband's job doesn't start until a few days into the month so we'll have paid the premium for January, but as of February it'll have to be the new insurance, and I don't yet know what they cover, or even which insurance company it is. Plus, my deductible starts over on Jan 1, naturally.

I had my RNY mid-September and while I'm in a weird headspace where I don't think I'm losing weight 'fast enough' compared with some of the stories I've read here (I know, don't compare, everyone is different; intellectually I get it, it's still something of a challenge sometimes...) I HAVE lost 55lbs. More importantly, the jeans I was wearing pre-op now fit like I'm trying to look like a 20 year old rapper wannbe, hanging half way down my ass if I don't cinch down a belt (which I've had to punch several new holes in and currently wraps around to my side when I use it), and I'm regularly wearing jeans that haven't seen the light of day since I blew up my knees (three months apart, one after the other in 2008)

That is fantastic! Just imagine how well you will be doing after the second knee surgery. A normal weight... such a lovely sound to those words! It makes everything easier - the possibilities are endless!

A dozen years since my sleeve. Maintaining my weight... I am now 67 years old. I have been bone on bone on both knees for years. I finally had the first knee replacement. Let me tell you.... this is no joke. I am very stoic and don't get crazy about anything. The level of pain in the first few weeks was epic. However the thing that has me totally entranced is that I am now in Physical Therapy doing my rehabilitation. And getting stronger for the second knee replacement that I will get in late Spring... After 4 grueling sessions; I am walking, moving well, and have almost 100% function in my surgical knee. I can't get over the comments from the PT and surgeon - About how my "normal" weight allowed me to do so well. My weight is still high. I know that. But I am comfortable where I am, and this is where I have been for a few years, and is my lowest adult weight ever. HECK. NORMAL WEIGHT ? No one is commenting on me being super obese, or needing to lose weight. Instead the focus is on strength and eating well, and getting stronger . What a huge difference.

I called again this morning and the person who answered let slip that the entire weight management center at the hospital is closing. So, I am not the only person impacted by far. He said that a manager is supposed to call everyone to explain, but still nothing has happened. Maybe tomorrow? As for what happens next, I'm not sure. The hospital was recently acquired by another big Boston hospital, which has a bariatric department of its own. I assume they are trying to integrate all of the departments across the system to eliminate redundancies, but their communication so far has been appalling. Why they wouldn't have planned for this by shutting down the pipeline of patients months ago so that all surgeries were completed before the closure is a mystery. I attended my full day immersion class in August and completed all my requirements on October 6. At that point, they were booking 10+ weeks out and there was no indication anything was changing. This isn't an independent bariatric practice where I could see there being management or money issues, but a center that is part of a Harvard Medical School teaching hospital. I find it shocking to say the least. I've spent most of the day wishing whichever faceless bureaucratic suit responsible for this trips and falls into a fiery pit. Clearly emotional intelligence was not a job requirement.

Congrats! Sky diving is an awesome way to celebrate. I need to lose one more kilo to reach my goal weight which seems to be taking forever haha.

I am 4 months since I started pre-op. HW - 469.8, Pre Op Weight - 450.6, 12/4/23 Weight - 340.4 Pictures are Pre-Op to today (12/4/23) Down 129.4 Overall, 110.2 since Pre-Op, and 90.4 since surgery (Aug 15, 2023) Still have a way to go for goal (250).