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Hi Phy: I think I would rather go in slow and be able to eat and not feel too much restriction in the beginning and then gradually work up to the right "sweet spot" as they call it. it's great you can eat everything but less of it. That's the idea and eventually you will have permanent weight loss. You are lucky you are doing it now because by the time you get to my age 48 you will have gotten to a healthy weight. I am going through perimenopause and I can not keep up with this constant weight gain due to hormones and low blood sugar which makes me crave sweets. It sort of feels like pregnancy again ...just great but with the band already in place you can breeze right through it or get more restriciton during this time. Congratualtions on getting banded!

Sounds like you are doing well so far. This topic is about weight gain for those sleevers who are a year or two out and close to goal or at goal and trying to maintain. Good job though on your weight loss

Ouroborous, I love that! I agree, so many people have an unreal expectation of what it is going to be like. Yes, some people drop the weight like no body's business, but I don't think a lot of those people never learn to eat properly and have an increase risk of weight gain later on. And ReallyRosy, it sounds like you are doing everything right! Just keep your head up and try to relax. It will come off! I have a friend that at 6 months out she had a 2 month stall. Partly because of poor eating, but partly because of her body resisting the loss. But it did come off! And you will be able to eat again, but just realize a lot of those foods still need to be eating consciously. I do eat rice, but I will only have a couple of tablespoons because I will eat my protein and veggies first. I have other treats too, like ice cream and popcorn, just not all the time. Some people eat a lot of carb rich foods, I try to avoid those. Things like chips are my weakness, so I never keep them in my house. Keep strong and you will do great!!

I tried to post yesterday but don't see my comments. Oh well. My story is that I'm now 6 years out as of Jan 9. I don't struggle with weight at all. I started at around 240 and am now 136/137 at 5'7. I wear a size 4 with no changes. I have even been through menopause during this last few years with no weight gain. I don't kill myself with exercise but I do lift weights and have for 20 years and do light cardio. It's just not necessary to do more to maintain. Also, I eat a plant based diet so the majority of my intake is carbs. I've also had 2 rounds of plastics. The first one was 4 1/2 years ago and the second a year later. I just think this is where my body wants to be. I do suffer from autoimmune arthritis and osteoarthritis and need knee replacements but I'm not ready for that yet. I'm actually afraid I'll lose more weight with a big surgery. Laura

I am in a similar situation. I had my band placed in July 2012 and it slipped at some point and was repaired Nov 2013. By the time of the repair I had lost 100lbs. Since then I have gained 80lbs, developed a hiatal hernia and a host of other physical complications from the weight gain. To say I am frustrated is an understatement. My last two visits my Dr has removed fluid from my band because I am experiencing shortness of breath. Contrast and endoscopy confirmed band placement was fine. I am having mixed feelings about the band since the hernia developed after placement. I have been seriously considering a revision and having the gastric sleeve. I don't know what to expect since the placement is fine but there's the shortness of breath and now he's removed 5ccs from the band, I feel my appetite increasing. Trying not to get completely discouraged and remain positive but I feel like I'm fighting a losing battle.

Hi, looking for a place to discuss weight gain after five years. First I had the Lap Band and when that had to be taken out, a few months later I got the Gastric Sleeve. I notice a big difference between the two, I was never hungry with the band and I am not sure if I am hungry with the sleeve or just back to wanting to munch all the time. It has been two years with the sleeve and I know I can eat more. I never reached my goal and had 40 still to go after both surgeries, but I know I have gained just from my clothes and the way they fit if not so much the scale. I am so disgusted with myself after going through all of this that I cannot finish. I was looking for a local support group in the NJ area, still looking. Or a group on line with long term surgery people. Anyway that for listening, write me back if you are having the same issues. Or know a place to go or a on line group.

Kindle you are spot on! Thank you for the candor that we all need! I am 2 years post op starting out at 240 and was losing successfully until the following year where I hit a wall at 180. All my fault. As I was able to eat more, I began to make unhealthy choices and now for the first time , I am seeing weight gain creep up which is my call to action and need to get back to the behaviors my sleeve had started to give. I took it for granted and my success will expire if I don't act soon. As you pointed, I am responsible and accountable for my behavior so we need to control ourselves and stop looking for something else to drive us-or worse something else to blame.

Had my surgery on Sept 11, 2012 so about a year and 1/2 ago. Made my goal at about 10 months and then adjusted it down. Starting weight was 239 and I have fluctuated between 123 - 127 for the past 6 months. I am super happy about that. I have always weighed myself every day, it worked for me and didn't make me crazy because I was pretty prepared for the stalls etc, so when I notice a little changed, I either eat a little more or a little less, it has been working real well for me. Escaped Christmas with no weight gain although I never felt like I was cheated from not having what I wanted to eat. Merry Christmas and Happy new me!

lovegrapes.. way to go! and have fun! AND everyone.. I found something and I wanted to share.. I have been trying different ways to get the water in and I am sick to death of crystal light.. I am not a good fake sugar person and after awhile it burns the back of my throat and taste nasty..plus the fact that its bad for you... and I dont want to drink things with extra calories I dont need.. so I found something that might be help if you are like me.. its a herbal tea that tastes sweet and has NO SUGAR.. it has nothing artificial in it and I got it at my grocery store.. it can be made hot or like ice tea and its very flavorful.. its sweet tasting and I have checked the box several times and there is no sweetner in it.. its by Good Earth and its the sweet and spicy herbal tea... here is a link if you want to get an idea of what it looks like.. I know the package has changed several times.. but it gives you an idea Good Earth Original Sweet & Spicy Tea & Herb Blend -- 18 Tea Bags - www.Vitacost.com anyways.. its a little spicy too.. its helping me get my liquids in. and it tastes really good. thought I would share.. still really discouraged at the moment.. dont really want to do anything.. i feel like if I have good restriction and its not helping.. what will.. I know I need to just keep going.. that weight gain is really messing with my head..:bored:

Tomorrow is my one year anniversay and I told my husband this morning that I want to do something special for myself to celebrate. He told me celebrate what-- Did you lose 100 pounds in one year? You cheated on cake and icecream and ate shit sometimes: I told him this was when I was depressed -MOST OF IT WAS BROUGHT ON BY YOU ! ALSO I HAD MY MEDICATION CHANGED 5 TIMES IN 5 MONTHS - MOST CAUSED WEIGHT GAIN THE DOCTOR SAID! He said your going to celebrate a 50 pound weight loss, you act like your lost 100 pounds! I wanted to buy myself an I-pod to encourage me to get back into my exercise routine and to get to the gym. I saw some great sales and he said no,your going to put us back into debut with your spending! So what did I end up getting $40 dollar gold earrings from a gift card that my husband got for Nurse's day ( He is a transporter at a Hospital and they gave the Nurses and Transporters gift cards a while back) so he gave it to me . Iam so mad right now! What made it worse was he came on this site and looked at the post and saw all of your before and after pictures and said - see these woman lost almost 100 pounds WHY COULDN'T YOU ! I HAVE NEVER FELT SO HURT AND LIKE A FALIURE ! My surgery was done on a Tuesday so it was technically a yeas ago today on June 13th. I look at my day of surgery picture and Iam no longer that person , I will never be her :cry. This dam insensitive bastard! Thanks for letting me vent! Lisa

I am scheduled for a resleeve after having my surgery Jan 7th 2006. 8 years 6 months. I got pregnant (not planned) 3 months post surgery and had to force feed myself. All was still good walked and did sit-ups regularly and maintained my weight until I had to have c-spine surgery, total disk replacement and a fusion. I was put on pain killers 1 month prior to surgery, hello constipation. I didn't know that pain killers caused this... Then I did very minimal activity for 1 year and regularly took Gabapentin/ Neurontin which I didn't realize causes weight gain. I was all clear with all blood test results however my stomach had returned to normal size. My surgery was new in Jan 2006 in Mexico and hadn't hit the US yet. I had a 36 bouge and got pg and meds made my stomach return to allow me to eat way too much. I am doing a resleeve after my upper GI etc. as the weight hurts my body, back especially but I miss being 145-165 and feeling good. I'm just curious if there are any others who are years post op and have regained the weight have been resleevers or are considering it? I am more nervous this time than before. Even 2 years after my surgery the Doctors procedures changed and he is quite a bit more Americanized as far as treatment etc.. He was good then and much better now. I went to Dr. Guillermo Alvarez which is where I'm headed back to... Cost is $2k cheaper than original however I'm still paying what he charges full price to new patients. Worth it to me. If anyone has any resleeve info or questions feel free and I would appreciate any info. Thanks

Have you tried meditation, deep breathing, etc.? Stress and anxiety can actually cause weight gain as many of us know. It doesn't really boost the metabolism. Also, exercise can help. I'm the worst one to give advice on that, but your body has to burn off the adrenaline and cortisol produced when we panic/stress. I have a walk planned this evening with a friend around a local lake, but then Aunt Flo showed up this morning, so I'm in pain! Has anyone had worse periods since banding? Mine are awful. I never had a problem with my periods until recently. Maybe I'm just getting older and its not band related. Hang in there Cathy. Glad you had fun in Cali Leece. Stay away from chocolate Cindy!(Or have a protein shake or a chocolate vitamin or a sugar free/fat free/caffeine free mocha or something and gradually the cravings should subside!)

It can be difficult to maintain especially if your not consistant and continue to follow this lifestyle change. I remember I was around 185 before my cruise next thing u kno 1 week later im back in the 90's! no way!!!! LOLThats too close to 200...I want to go as low as possible without looking sick. I do believe 160 will look good on me, so I can have a gap to play with (between 160-170 for weight gain) You always want to leave enough room to play around for weight gain bc nobody truly stays the SAME weight forever...If you want to stay away from the 200's, I would say 160 would be extremly safe. For a person whose 5'8, 160 is a good weight

I think I would go in with the idea of only get .1. If you gurgle with .2 then that is too much. You are probably real close to your spot so go real conservative. I've decided it's worth the extra money to me to go real slow. You also may want to rethink getting a fill this soon. I don't think the weight gain is really from you overeating and not after 2 week and not after being real tight. Now the real cause of the weight gain. Yes it could very well be the antismoking medicine. It also could be the gratification you are seeking with food instead of cigs. Why don't you log what you are eating to be sure? I also think it's hard to do both - weight loss and give up smoking. I commend you for trying, but I know it must be frustrating. Two big oral gratifications taken away at the same time. You might have to substitute with another oral fix. OK you guys minds out of the gutter - I was thinking singing or humming or whistling or public speaking or .... Also might want to think of some of that hard candy that has few calories. It could be something to suck on instead of thinking of cigs. Also, I saw a suggestion to pop one of those Listerine mouth referesher sheets that disolve in your mouth. They are supposed to take away the urge to eat. I haven't tried that.

I am dying laughing over here "my knees sounding like rice krispies every time I sat down" but trust me I know the feeling...I had bad knees before the weight gain and the extra weight didn't make it any better.

@tonyab I also struggle from chronic migraines, I was diagnosed with 2 mini strokes. They believe it happened years ago and recently been having high blood pressure, also neurologist believes I might be having vision problems due to the weight gain. I've never been able to lose more than 15 pounds. And even then didn't manage to keep the weight off I gained 20lbs in 1 month and 10 the following (previous 2 months) my PCP also ruled out thyroid problems. How long has your process taken you? Kind of an odd situation to have everything done before even meeting with the surgeon; did you PCP conduct those tests? And will you have all the info transferred over to your WLS clinic? I want my PCP to conduct all the tests since it'll be faster. But not sure if it's acceptable. [emoji272][emoji813]️

I can SO relate. I have had many ups and downs in my lapband journey....between chronic abdominal pain....that still is left undiagnosed because GI said it's not GI related, band doctor said it's not band related and GYN says its not GYN related....real nice...I have had colonoscopy, EGD, flouroscopy, gallbladder removed w/exploratory while they were in there...and nothing. Then, I broke my ankle which required two surgeries. That REALLY set me back. So, now, being about 30lbs away from my goal I was left in a plateua w/some occasional weight gain. I just started the Ketogenic diet.... high Protein, high fat (like 65% of your caloric intake) and VERY low carb. It's similar to Adkins, but I am doing the carb cycling where you eat little to no carbs for 6 days and you have one carb up day where you can eat literally anything you want and all the carbs you want, then the next day you go back to the strict no carbs. It's a little confusing, but a lot of body builders and people who want to drop weight fast and still keep their muscle mass do this diet. A close friend of mine swears by it along with a lot of his friends, so I figured I'd try it. I'm only 4 days in, but I've already hit ketosis (which means my body is burning fat). Doing a 2-3 week trial to see where I'm at. My suggestion to you is to shock your body! When I am in a rut, I do a crazy "fad" diet to shock my body into losing weight and then gradually go back into the normal healthy lifestyle. Best of luck!

So many of these postings hit home for me. In the end, I am tired of thinking about my weight. I am consumed by it daily - from assessing whether I am the "fattest" person in the room to figuring out if someone is treating me differently because of my weight. Stereotyping of larger people makes it very difficult for me in my job as many assume I am heavy merely because I am not a hard worker, or lazy, or I cannot get away from the fridge. It would sometimes make me sad. Often it would make me angry. I want energy back... I am going to channel myself to accomplish this goal for me. I cannot wait until I am able to shake loose all the negativity from weight gain, all the self-hatred, the denial, and the guilt. Losing the weight will not do that on its own, it will take a complete overhaul of my mindset. I am ready...finally. I do not want to be embarrassed anymore, or angry, or humiliated, or sad... or miss out on anything I want to do because I am heavier. Tired of blurring the edges, hiding from mirrors, hiding from cameras, films, being posted on FB, the waterslide, the planes, that darn waiting room chair made for someone size 8.... I might have reached my lowest point when I asked myself if my friends felt sorry for me because they hung out with me. (Not being worthy on my personality alone). I know I am not alone but I have felt that way for over a decade.

Good evening all. I'm scheduled for rny on 9/12. I have my final weigh-in on 9/6 and watch the drop video. I'm in Michigan and wonder if anyone knows someone who surgery date was cancelled due to them gaining a few pounds. Right now with changing my eating and exercise seems like I'm up in a few lbs and scared they are going to cancel my rny. Does anyone know if someone surgery was canceled. Thank you everyone

What Your Doctor Can’t Tell You If you are considering bariatric surgery, you’ve probably done some research. You may have looked up “gastric bypass” on the internet, read some blogs, or perhaps you’ve gone so far as to discuss the possibilities with your doctor. You may have a decent grasp of the physical side of this surgery. But there are some things even the best surgeon can’t tell you. I’m talking about the emotional side of taking this life-changing step. The emotional roller coaster of trying and failing to lose weight does not disappear when you decide to use bariatric surgery to get control of your life. But, it does become easier when you know what to expect, and when you see that you are not alone. I speak with authority on the subject of bariatric surgery and the emotional struggle that goes with it — I’ve been there. Seven years ago, I had a gastric bypass. This process took me from being barely able to function to living a magnificent life as an authentic and productive person. But it wasn’t a walk in the park. As a person who has been through the surgery personally, and as a clinician (I am a licensed Marriage and Family Therapist) I bring deep experience to this subject. And I’m anxious to share what I learned. I want to make it clear up front that I am speaking as a clinician and someone who has been through weight loss surgery and the difficult recovery process — I am not a nutritionist or medical practitioner. The full tale of my own personal journey is recorded in my book Recovering My Life: A Personal Bariatric Story and in videos and Facebook posts I recorded during and after my surgery. I began emotional eating as a response to childhood trauma. And, though I had dieted over and over again since high school, I weighed over 200 pounds at the birth of my second child. At that point, my medical problems included sleep apnea, high cholesterol, high blood pressure, and hypoglycemia (low blood sugar). By the time my third child was born, I was pre-diabetic, with gestational diabetes. Many days, I was too tired from sleep apnea to even get out of bed. I could barely take care of my kids, and I felt like the worst mom on the planet. Fighting My Way Through I had always thought only slackers had weight loss surgery. But when a friend had a gastric bypass, she convinced me that, for people with weight loss resistance, this was a good option. I consulted my doctor. He approved, and I began fighting my way back to health. And it was a battle. I made mistakes, but I learned from them, and I persevered. Today, I have maintained my weight loss, and I am healthy. I am a better mom to my kids, and I have a thriving group practice and run a nonprofit foundation I created to assist people in our community to heal the brokenness in their lives. And I met and married my second husband and have a great marriage. If you’re thinking about bariatric surgery, or if you’ve already had a procedure done, it’s important to move forward with all the information you need — including the physical and emotional ups and downs. My recovery was a difficult journey, but I would do it again a million times over. Knowing what I know now wouldn’t eliminate the challenges I had to overcome before and after surgery. But, it would make the whole thing less scary. That’s what I hope my story does for you — help you avoid the mistakes I made and feel more confident in your success. Understanding Weight Loss Struggles & Bariatric Surgery Causes of Morbid Obesity What is Bariatric Surgery? Getting Ready for Surgery Mental & Emotional Preparation Advocating for Yourself After Surgery is Approved Building Support Planning Pre-Surgery Weight Loss What You Will Need Immediately After Surgery In the Hospital The First Few Days at Home Ongoing Recovery Physical Issues Emotional Issues Other Issues Potential Issues After Weight-Loss Surgery Emotional Challenges Health Problems Relationships Understanding Weight Loss Struggles & Bariatric Surgery Why Do People End Up Morbidly Obese Well-meaning acquaintances, friends, and relatives may suggest that you’re “taking the easy way out” by pursuing bariatric surgery. They can make you feel guilty for even considering this as a last resort. Why can’t you just lose the weight on your own? Genetic predisposition. Some are genetically predisposed to gain weight, even when they exercise, even when they try to diet. Certain hormone imbalances and disorders can also make it hard to stay at a healthy weight. Emotional eating. The barrier that keeps most morbidly obese people from losing weight is that our eating is connected with our emotions. Early on, many of us learned to use food as a way to cope. Food for us is not just fuel; it’s the way we deal with life’s problems and blows. Regardless of the particular cause, some of us have been on one diet or another all our lives. We have lost the same 50, 70, or 100 pounds over and over. In fact, our attempts to lose weight have made us worse off. Along with the health effects of too much weight, we carry the shame of failure and frustration. Weight and Your Wellbeing The physical health problems associated with obesity are many and serious: high cholesterol, high blood pressure, acid reflux, gall bladder disease, congestive heart failure. Type two diabetes, hypoglycemia, asthma, sleep apnea and other sleep problems, fertility problems, arthritis, lack of energy. Knee and back pain, gout, migraines, psychosocial stress. Even scarier: liver disease, increased risk of cancer, risk of stroke, and earlier death. Associated emotional problems that stem from these conditions can also make it harder to overcome them. For example, you may be struggling with depression, anxiety, and guilt. Sometimes, the biggest problem we have to face is the low self-esteem that goes along with being the biggest person in the room. What Is Bariatric Surgery? Bariatric surgery is not a cosmetic procedure. We may hope to look better after losing weight, but the best reasons for undergoing this major surgery are to extend and improve our lives. The common term for bariatric surgery is “weight-loss surgery.” It means any surgical procedure on the stomach or intestines that aims at weight loss. Doctors have been performing these surgeries since the 1950s, with a good success rate. The most common procedures are lap band, with a success rate of 47%; gastric sleeve, with a success rate of 80%; and gastric bypass, which has an 85% success rate. Another procedure, duodenal switch, has a success rate of 95%, but is more complicated and less common in the U.S. These procedures support weight loss while requiring lifestyle changes. Drastic weight loss can motivate you to keep on the road to better health. Whichever procedure you choose, pre- and post-operative education is key to developing lasting, healthy habits. Getting Ready for Surgery Mentally and Emotionally Preparing Convincing others — and yourself — this is the best solution Your first job is to conquer your own hesitance about weight-loss surgery. Even asking about it takes courage. Then, when you’ve reached the point of seriously considering it, you need to be prepared for a long haul. You will need to get lots of people on board with your decision. First, your family — maybe not extended family, but certainly the people you live with day to day. Next, you need your doctor to approve your decision. No matter how much you hate to get weighed, you will need a referral from your primary physician. And, you need to convince your insurance carrier that bariatric surgery is necessary for your health and to prolong your life. Navigating Relief and Fear You will probably feel a profound sense of relief just to know there’s a solution to obesity- related health problems. But along with that relief comes worry. It’s major surgery. Things could go very wrong. You might even die. Will having surgery be worth it? What if you can’t get the weight off during those post-surgery months? What if you can’t keep it off and all this trouble and pain is for nothing? After all, you’ve tried and tried to lose weight and it hasn’t worked — or only worked for a short time. Then there’s having to consult with medical personnel and, even worse, insurance representatives, to advocate for yourself. You’ll have to talk about your weight, which means confronting the shame that goes with it. You may worry that people will think you’re weak — that you’re taking the easy way out. How do you overcome that prejudice? Especially since part of you still shares it. Overcoming Resistance And what about all those hoops you have to jump through? You have to have at least six months of records showing your weight on a regular basis and detailing your attempts to lose it. When you can’t bear the sight of your own body, much less the weight on the scale, how are you going to face that challenge? Your research, from articles to videos, shows people who’ve had bariatric surgery eating impossibly small portions. You hear about all the restrictions ahead: first, a liquid diet; then mashed food; then, even when you get back to “normal,” ongoing restrictions, such as not drinking with meals. How will you ever be able to eat normally again — how will you ever be able to eat out? These are mental challenges it won’t be easy to meet. But if you want to be well again, if you want a long, productive life, it is possible to work through them. Advocating for Yourself I was fortunate that my primary care physician was willing to support my bariatric surgery decision from the beginning. But you may have to work to convince your medical advisor that this route is good for you. Advocating for yourself isn’t easy, especially if, like most of us who suffer from morbid obesity, you don’t like calling attention to yourself and your weight. To succeed, you must learn how to speak up for yourself. Here are some suggestions. Decide what you want. Believe in yourself! Know the facts. Educate yourself about bariatric surgery and potential issues. Plan. You need a strategy for recovery and ongoing lifestyle changes. Gather support. It’s helpful to have family, friends, and people who have similar issues on your side. Target your efforts. Find the best medical practitioner. Find the right person at your insurance company to plead your case to. Express yourself clearly. Tell doctors and insurance agents that you are interested in surgery and why you feel you need it. Stick to the point, and don’t give up if they say “no.” It may help to role play scenarios with a friend or family member who supports your decision. Assert yourself, but don’t lose your temper. Respect the rights of others, but ask for what you need, and then listen. Finally, don’t give up. Be firm and persistent. Follow through on what you promise. (Those six months of weight-loss records, for example.) After Surgery Is Approved You’ve made the decision to have bariatric surgery. You’re both excited and scared about taking this serious step toward improving your health and your life, but you’re going to do it. Now you need to build your support system. Nobody goes through such a major life change, such a serious physical challenge, without help. Find Your Team Choosing the right people to support you on your journey is one of the most important decisions you have to make. You will need to depend on family, friends, acquaintances, and even strangers who have gone through this experience before you. The most important quality to look for in your team is respect and support for your decision. You will need help with ordinary tasks and responsibilities while you are undergoing and recovering from surgery. A few needs: Someone to care for your children and pets while you’re in the hospital and perhaps during recovery at home Help cooking meals and cleaning the house Someone to accompany you to the hospital and be your advocate when you can’t do that yourself Help dealing with the inevitable emotions and stresses of major surgery and a major lifestyle change First, you have to overcome your reluctance to ask for help. Then, you have to reach out. Share your needs with family and friends who are sympathetic to your goals. If they’re not on board, you don’t have time for them right now. If it feels right to you, you can use social media to reach out. Contact your church, work friends, fellow hobbyists, and people you’ve come to know in other ways. Trust that there will be someone who can help. Be Informed and Follow Your Doctor’s Advice Use the resources available through your medical advisors. Seek out a sympathetic nurse. A therapist can help you deal with the emotional consequences of surgery and also the issues that led to your obesity in the first place. If you don’t have a therapist, maybe it’s time to make that connection. Find a good therapy group. And above all, follow your doctor’s advice! Learn as much as you can about what will be happening to your body and mind, but trust the experts. Plan for an Extended Recovery Your time in the hospital may be only three to four days, but it will take longer for you to feel “recovered.” The period (about nine months) when you are relearning how to eat and coming to terms with the smaller size of your stomach is crucial to your long-term success. There will be lots of ups and downs. Be ready for a long road to full recovery. Having support from friends and family is important, but this is the time to get involved with a support group. Being with others going through the same experience can give you the perspective you need to keep going. Even if your physical recovery is swift and relatively painless, you will have to learn how to deal with the changes in your life. If, as with many, food has been the way you deal with past trauma, uncomfortable feelings, your need for independence, or any other of life’s problems, you no longer can depend on that comfort. If food has been your addiction, you now have to kick the addictive response to it. There will be setbacks. You need to be prepared to bounce back from them. Lose Weight Before Surgery Your bariatric surgeon is likely to require you follow a weight-loss plan for a number of months (six is common) before surgery. The reasons: to make sure you really are committed to your goal of losing the excess weight, and to help you be as healthy as possible going into surgery. This can be a frustrating time. You’ve tried so many diets and exercise programs before, and none have worked. You hate thinking about your weight, and your program requires you weigh yourself daily and keep records of your weight, food intake, and exercise. You’ve made a major decision and are anxious to get it over with. But again, following your doctor’s advice is the shortest and best way to reach your goal, no matter how frustrating it feels. Confront Your Fears To make this transformative decision, you’ve already had to overcome lots of fears. Some of your fears involve others’ opinions. “What will people think?” Some arise from self-doubt. “Am I being selfish?” These are not frivolous concerns. Believe in yourself and face them. Your decision to take care of your health so that you can be there for your loved ones is a good one. Trust in yourself. Another very real fear is the fear that anyone feels when they are about to undergo major surgery. You could die. This is not a frivolous thing. It’s serious. But the vast majority of people who have surgery don’t die from it. So, face your fear realistically. At last, the big day is here. Your surgery is performed. You wake up in the hospital. Are you a different person? Is it all over now? Not yet. The journey of recovery has begun, and it will take resilience. Immediately After Surgery In the Hospital If you have built your support team, you will have fewer worries going in. Your family and home responsibilities are covered, and you have people to support you in the hospital and after you return home. But that doesn’t mean there won’t be challenges. During the initial stages of recovery, hospital staff will be checking your blood pressure, oxygen levels, and more. You may feel as though you are always being poked and prodded at, with little privacy. Thankfully, this stage doesn’t last forever, Your doctors will advise you about the physical challenges that may follow bariatric surgery: constipation, dumping syndrome (nausea, vomiting, and weakness caused by eating high sugar meals, sodas, and fruit juices), possible infection of the wound, and possible leaks in the new connections. But medical advice may not give you the information you need about the emotional side effects. One consequence of the surgery I noticed immediately: I no longer felt like eating. My hunger hormones were gone for a period of time. I had to force myself to eat, and I felt weak. Others report that they felt hungry during the post-op period while on a liquid diet. Hungry or not, a liquid diet can be a source of emotional stress. Be aware that different people react in different ways. The important thing is to keep following your medical and nutritional advice and trust that, in time, you’ll be feeling more normal. Another potential problem is “food grief.” Food has a special meaning for people who suffer from morbid obesity, and “mourning for lost foods is a natural step in the re-birth process after weight loss surgery.” For a long time, maybe all our lives, food was our friend. We turned to it in celebration, in sadness, for comfort, for reward. Now, we can no longer turn to food. We have to find other ways to fill the void food once filled for us. Along with the pain associated with surgery comes the challenge of managing it. The pain medication you are given in the hospital may not work for you. Keep advocating for yourself until you find one that does. It may also take time to know exactly how much medication you need. Trust your doctor, but don’t be afraid to ask for a higher dose if you are in pain, or a lower dose if you are experiencing other unpleasant side effects. It’s worth reiterating here, I am not a nutritionist or medical practitioner. And, I am certainly not advocating for you to ignore your doctor’s advice. Rather, by telling your doctor how you feel when you’re on pain medication, he or she may be able to transition you to a more effective medicine or dosage in a safe, supervised way. Other challenges: meeting the medical requirements for discharge from the hospital and meeting your own fears and expectations. Will you be ready to be sent home? How will you manage after you get there? Your First Few Days at Home Your first major challenge will be dealing with pain and managing your pain medication. If you’re like me, you will want to get off medication as soon as possible. But follow your doctor’s advice. Pain meds usually require tapering off. Quitting “cold turkey” is likely to cause withdrawal symptoms, such as feelings of anxiety or depression, trouble sleeping, headaches, night sweats, nausea, vomiting, and diarrhea. I made the mistake of not tapering off my pain meds and lived to regret it. You — and members of your family — might be appalled at how little you eat. You might worry about not getting enough of the right nutrition — protein, for example. The combination of pain, medication, and lack of hunger hormones can mean almost total loss of appetite. Feeling responsible for things at home may make you push yourself too hard, especially if loved ones need you. Preplanning for getting help during this early recovery period is important. You will need to have both physical and emotional support in place. Recognize that even though they care, some people won’t be able to help. But don’t be afraid to ask. Take baby steps. Your recovery has many facets: overcoming pain and regaining your physical strength are just the beginning. Emotional adjustment to the new circumstances of this life-changing step is major and ongoing. Therapist Lynne Routsong-Wiechers, herself a successful bariatric surgery patient, lists “Seven Steps to Improving Emotional Adjustments Post-Surgery” in her article, “Baby Steps — Emotional Adjustments to Weight-Loss Surgery.” Follow your doctor’s orders. Ask questions when you have them and express concerns, but trust your doctor’s recommendations and prioritize your physical health. Keep a journal. You can use this to keep track of the foods you eat, as well as whether or not you are emotionally eating, but you might also choose to express what you’re thinking and feeling. This will be a private record, just for you. Remember, you are more than your diet and weight. Write down realistic goals and expectations. Celebrate when you meet them! Reflect on the past. Remember why you decided to make this change, and honor how far you’ve come. Take plenty of photos and keep your old clothes. This will help you physically see your immense transformation. Call on that support team you’ve created. Look forward to living life to the fullest! Ongoing Recovery Physical Issues Even after you’ve conquered the first few days after surgery, the challenges go on. This early recovery stage can last from one to six weeks. The specifics vary with the particular procedure, but here’s a general outline of your physical recovery: Develop strategies to deal with these attacks: exercise, journaling, and deep breathing are a few suggestions. Seek help if your attacks are severe. Focus on One Part of Your Body You might find yourself focusing on one body part. For me, it was my double chin. I had lost inches from my waistline and was making good progress, but when I looked in the mirror and saw that same double chin, I felt like I was making no progress at all. This kind of body image distortion, if it becomes obsessive, can lead to Body Dysmorphic Disorder (BDD), a mental health disorder. People with BDD can spend hours a day obsessing about their appearance. These obsessions and the low self-esteem that results can make them avoid social situations, have problems at work or school, or even lead to suicidal thoughts or suicide attempts. It’s important to seek help and support if you feel yourself becoming fixated. Remember that no body is perfect, and people are much more like to think about their own “flaws” than notice yours. Practice positive self-talk and try to replace thoughts about your body with something else, such as a new hobby or activity. Now that you’ve lost weight, a whole new world is open to you! Health Problems It’s not uncommon for patients to regain some weight after surgery, although it’s a myth that many patients regain all their lost weight. Regaining Weight Regaining even a small amount of weight can feed your fear. What if you stretch the pouch and end up gaining weight back or stalling your weight-loss? What if you have to go back to the hospital for something and you gain weight because of the treatment? About half of all bariatric surgery patients regain weight after two years. But the average regain is about 8% after reaching the lowest point, and total ten-year excess weight loss is still over 50%. The main reasons for regaining weight are: how much excess weight you carried before surgery, alcohol or drug abuse, lack of a support system, or having a psychological problem or food “addiction.” Realize that even if you regain some weight, you are still healthier than you were before surgery. Take steps to avoid the main reasons for weight gain. Be aware of the dangers of a substitute addiction to alcohol or drugs. Get yourself a support system and use it. Get treatment if you suspect you are overeating because of food addiction. Plateauing Don’t lose hope if you stop losing weight for a few days. These things happen. You can overcome the weight loss plateau. Your metabolism may have slowed because you couldn’t exercise after surgery. You can start losing weight again. Focus on getting the right amount and intensity of exercise. Track your heart rate. You should be exercising at 60 to 85% of your maximum heart rate (220 minus your age). Vary your exercise routine to keep yourself challenged. Be sure to drink enough water, and continue eating right. Complications I worried that something would get stuck in the very small connection between my stomach pouch and small intestine. Would I have to go to the emergency room? Could something else happen to me? As with all surgeries, there can be complications with bariatric surgery. But this surgery is very safe (99.8% survival rate). And less than 10% of patients have a complication. Though the list of complications is fairly long, most are not life-threatening (e.g., indigestion, diarrhea or constipation, nausea and vomiting, dumping syndrome). Some can be prevented by self-care. Stick to your bariatric diet, follow your doctor’s instructions, inform yourself about what to look for, and share your worries with your doctor. Sutures I had difficulty with sutures coming out before they were supposed to. Others have had infections at the wound site. Monitor the site of your surgery and consult your doctor if things aren’t going right. Hypoglycemia Hypoglycemia (low blood sugar) happens when after eating, a rise in blood sugar makes your body produce more insulin, which then lowers blood sugar. Unless it’s extreme, this can be managed by changes in your diet. Nutritional Deficiencies Common vitamin and mineral deficiencies among bariatric surgery patients are Vitamin B12, Folate and Zinc, iron, copper, Calcium, and Vitamin D. Potassium deficiency can also be a problem, causing nausea, cramping, and dry skin. Supplements may help. Consult your doctor and dietician. Dehydration The recommended daily intake of water — 64 ounces — may be hard to get down, particularly right after surgery. Eight cups sounds like a lot, but if you break it down to one-fourth cup every 15 minutes for eight of the twelve or so hours you are awake, it is manageable. There’s an app for reminding you when to drink at GetHYApp.com. Clothing Especially in the early weeks and months after surgery, when you are dropping weight fast, you may find you can’t find anything to wear. This may sound like a minor problem, but you might be caught off guard by how much you spend on new clothes as you lose weight rapidly. While you are changing sizes every week or two, you may want to find some ways to save money: Borrow clothes or shop at thrift stores. Shop your closet. Now’s the time to wear those too small items you just couldn’t part with when you were heavier. Don’t buy too much. Get exactly what you need until the next size change. Buy just a few practical basics and splurge on accessories. Don’t buy for the future. Clothes that fit and flatter now are better for your confidence. Alter. If you can’t alter your own clothes, find someone who can and get items altered as you lose weight. Most things can be taken in. Exchange Clothing. If you’re in a support group, consider swapping clothes with other group members. Relationships Social Life Your new body may allow you to make new decisions: to start dating or to go to the beach. But because your body image may not have caught up with the reality of your new body, you may still have the self-doubts you had before. Part of your mind still thinks the way you did before surgery. You may feel unattractive, even invisible. Inside, you still feel fat. Negative self-talk may still be your go-to response to interacting socially with other people. Counseling, a support group, and self-affirmations can help. Most importantly, give yourself credit for all you have accomplished. You’ve come a long way. Different Reactions Sad, but true. Not all of your friends and family will react positively to the new you. Old friends, even family members, may envy or resent your new look. Family, friends, and even strangers may have a range of reactions to the changes in you. Your children may support you, but carry a lot of anxiety, fearing that you may die. Some may become diet police, worried that you’ll regain the weight and ill health of your days of obesity. Some will trust you to know your own needs. Know that others’ reactions don’t mean anything about you. You are taking care of yourself, and that’s a good thing. Getting More Attention Now that you have lost weight, you are probably getting more attention. This may make you uncomfortable. Obesity goes with isolation. In fact, some people use their weight to keep from being in the spotlight. Being noticed may be flattering, but it can also be stressful. Jealousy If you’re married or in a relationship your significant other may be jealous of all the attention you’re getting from other people. Your spouse might fear that the new you might leave the relationship and so may try to sabotage your efforts to maintain your weight loss. Your overweight friends might be jealous in a different way. If monthly dinners out with your “foodie” friends were the main thing that kept you together, or if these friends are not sympathetic to your weight loss efforts, they may, consciously or unconsciously, sabotage you. Remember to surround yourself with people who support you. Don’t judge others who may be struggling, but don’t sacrifice your progress to please them. Guarding Against Judgment The different way strangers and acquaintances perceive you now may make you feel flattered, but also confused and even resentful. You may wonder — do these people like you for yourself, or are they just attracted to your new appearance? Would they have liked you before? People you don’t see every day may not recognize you. Others may make you feel that you’re being judged for your decision to have the surgery. You may be re-introducing yourself to one person and defending yourself to another. It’s understandable that you may be struggling with your sense of self. But, remember, you are worthy of kindness at any weight. Be your own best support. Honoring Your Accomplishment You can’t control the beliefs and behavior of other people, but you can be true to your goals and to yourself. Keep honoring your decision, your hard work, your determination, and your truly astonishing accomplishments. Whatever others say or imply, you are a brave and magnificent person, and you deserve a magnificent life. Embrace Your Future Bariatric surgery is a last-resort choice for losing weight that is killing you. Deciding to go ahead with it and working through all the barriers and difficulties is not for the faint of heart. But for those who choose to go forward, it can be life-saving in many ways. By arming yourself with information about what to expect, you can feel prepared to navigate the weight loss surgery process with greater confidence and ease. Keep coming back to this guide and check in with yourself at every step along the way. Before, immediately after, and long after surgery, remember these key points: Create a support system Take care of your body Believe in yourself No matter where you are in your surgery journey, you deserve the new life you have given yourself. Enjoy. Links https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers https://obesitynewstoday.com/gastric-bypass-success-rate/ https://www.caroladkisson.com/books/ https://www.bariatric-surgery-source.com/feeling-hungry-less-than-a-week-after-gastric-bypass-surgery-is-this-normal.html http://www.boxingscene.com/weight-loss/54558.php https://www.consumerreports.org/health/avoid-withdrawal-symptoms-from-prescription-painkillers/ http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/baby-steps-emotional-adjustments-after-weight-loss-surgery https://www.bariatric-surgery-source.com/bariatric-surgery-recovery.html#Support_Main https://www.mayoclinic.org/tests-procedures/bariatric-surgery/basics/what-you-can-expect/prc-20019138 https://www.bariatricpal.com/topic/239270-joint-aches-and-pains/ http://www.mybariatriclife.org/chronic-fatigue-after-bariatric-surgery/ http://www.livestrong.com/article/456678-feeling-cold-all-the-time-after-a-gastric-bypass/ https://www.leaf.tv/articles/how-to-avoid-skin-problems-after-gastric-bypass/ https://www.webmd.com/diet/obesity/features/you-lost-weight-what-about-extra-skin#2 https://www.drdkim.net/ask-the-dietitian/understanding-hair-loss-after-bariatric-surgery/ http://www.yourbariatricsurgeryguide.com/psych-impact/ http://www.bmiut.com/mood-changes-bariatric-surgery/ https://www.njbariatriccenter.com/eating-out-after-weight-loss-surgery/ https://www.bariatriceating.com/2013/11/what-medications-are-off-limits-after-my-bariatric-surgery/ https://www.everydayhealth.com/weight/the-emotional-health-risks-of-bariatric-surgery.aspx http://www.yourbariatricsurgeryguide.com/psych-impact/ https://www.tijuanabariatrics.com/blog/2017/04/18/is-a-ketogenic-diet-safe-181655 https://www.ucsfhealth.org/education/dietary_guidelines_after_gastric_bypass/ https://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html#Diet-and-Life-After-Main http://www.yourbariatricsurgeryguide.com/psych-impact/ https://weightwise.com/avoid-body-image-distortion-weight-loss-surgery/ http://bariatrictimes.com/depression-after-bariatric-surgery-triggers-identification-treatment-and-prevention/ http://blog.riversidesurgicalweightloss.com/blog/manage-anxiety-after-surgery https://adaa.org/understanding-anxiety/related-illnesses/other-related-conditions/body-dysmorphic-disorder-bdd https://asmbs.org/patients/bariatric-surgery-misconceptions https://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html https://mybariatricsolutions.com/overcoming-and-preventing-the-weight-loss-plateau/ https://www.bariatric-surgery-source.com/complications-of-gastric-bypass-surgery.html#General_Safety-Main http://gethyapp.com/ https://weightwise.com/how-to-shop-for-clothes-after-weight-loss-surgery/ https://www.bariatric-surgery-source.com/marriage-family-strangers-after-weight-loss-surgery.html

I got sleeved July 7th and I get off liquids tomorrow(yay eggs!!) So far my sleeve is total steel, but I've noticed my pallet has done a 180. I used to be able to drink 500 calories of milk a day (easy) and now.. I don't like the taste. Same with all my juices. Now, the only liquid I like is water. What a huge blessing! Especially considering milk probably contributed to a majority of my weight gain.

I'm doing fantastic. One has to remember, it's a lifestyle change. This isn't a switch you can just turn on or off. Your stomach will reject certain sugars, and mine rejected peanut oil (Chinese food). Once you dump a few times, you'll know what you can and cannot tolerate. My initial weight loss was 197lbs, but I gained 40lbs back over the 15 years since. I don't like the weight gain, so I went back to the foods I ate when I first had the surgery, and I am staring to get back down.

You don't sound like a d**k, and I get where you are coming from. Yes, I haven't been out of surgery long, and yes, I am aware of the "honeymoon period." My surgeon and support staff went over all that with me time and again before I made the decision to have the surgery. Nothing is a magical "fix-all" to obesity or weight issues, and yes, it will be constant work. A large part of my weight issue stemmed from a psychiatric medication that I was given, as I mentioned earlier. It is called Zyprexa, and this is a very well-known side effect. It made my appetite go through the roof, and though my psychiatrist stopped it after a meeting with my GP and my appetite went back to "normal," the weight wouldn't come off. I followed a medically supervised diet to the T and went through the whole "yo-yo" effect because yes, the body does get used to having a new "normal" weight when you are obese and as far as I have been told, surgery is the only thing that can actually have a true long-term effect. It has now been written in every medical folder I have, psych and physical, that I cannot be put onto weight positive medication again, so if this fails, it is all on me. I have a will of Iron...always have. It is one of the reasons I was so frustrated on my medically supervised diet where I was focusing on following it to the letter, doing what I was told, and having no success. I'm not saying I am better or worse off at anything than anyone else, but we are all different people with different backstories who have gone through different struggles. Most of the staff at my surgeon's office are bariatric patients themselves, many who have been post-op for a long time, and they have had success by following the plan given to them by their surgeon and using the tool they were given. I think that though it will be a struggle in the long term, and there is always the possibility of regain, it comes down to the individual and how closely they follow the lifestyle change they originally set upon and use the "tool" that is surgery. I'm not trying to start some sort of forum flame war and I appreciate your thoughts and advice. I'm in this for the long haul. I wanted to get back to the healthy and active lifestyle I had before my weight gain, and that is what I have set my mind to ensuring happens. If I regain 5-10-15 pounds in a year or two or three, I will work double time like hell to get back to where I am now. There is absolutely nothing worth eating good enough to give up my health for...NOTHING. I see people on my table every day who die from issues related to obesity, and I've made up my mind that will not be me.

I dont know if it is just the Women in our age group... (mid to late 20's ) but, I have read ALOT of similar stories..... including mine. Got married in early 20's.... weight was fine, then KABLAM! Grown Up DUTIES! Depresion kicks in, anxiety, sadness, over-eating, and weight gain, sadness. Having kids just adds to all of it! Life is just a HUGE battle. I dont know if it is that we expected married life to be different or we are just exagerating, but it is soooooo hard to deal with daily issues especialy with all this extra weight. I am not the best person to give advice, but I sure can listen (or read) lol I am very proud of Women Our age to take control of our lives NOW. :thumbup:Good for you! This will really be a NEW BEGINING for our Generation.... watch you will see! I wish you the best on your journey and Thanx for sharing your story! (its relieving to hear I am not alone)

I'm sorry you've gone through so much grief and distress. Several antidepressants have been linked to weight gain, so it's possible that could be contributing to yours. I gained 30 pounds quite rapidly from taking Zoloft for grief. I've had more success with a low dose of Wellbutrin (a higher dose caused insomnia and hair loss), though some people haven't been benefitted from it. I've started to read reviews of every medicine I take to better understand the experiences people have on it, so I can be aware of possible side effects. There's a bariatric surgeon named Dr. Matthew Weiner who has several videos on YouTube. In one of them he discusses common reasons for why people gain weight post WLS, and lists medication as a leading cause. Edit: This is the video: About 5-6 minutes in he lists reasons for weight regain, and talks about medication.