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Congratulations on making your decision to take your life back. Only those who are obese truely understand how limiting and challenging it is as well as its impact on you psychologically and emotionally. There are a number of reasons why people undergo a revision from sleeve to bypass: they develop GERD, weight regain, don’t lose as much as they hoped. Don’t know the rate of this occurring. Doesn’t mean this will happen to yiu.I know people who have had a revision on this forum and people who haven’t. Personally I have three friends with a sleeve all between 4 & almost 7 years out and no revisions. I ‘m 5.5 yrs out with my sleeve and am happy with it & my younger brother just had one done. But we’re all different & the surgeries work in different ways to different people. Sometimes surgeons will recommend bypass over sleeve because of the weight their patient has to lose, weight loss and gain history, pre-existing conditions (like GERD, etc.), etc. Are you able to ask why the surgeon/clinic is encouraging you down the path of a sleeve rather than bypass as this is less common (more common to recommend bypass over sleeve). My cyclical side wonders if it’s because a sleeve is a less complicated surgery, takes less time to perform and sometimes doesn’t require an overnight hospital stay. So do they want you to have a sleeve because it’s less demanding on their services. Ultimately it should be your decision as to which surgery you get. Have a look at some of the you tube videos by Dr Matthew Weiner (pound of cure) & Dr John Pilcher. They cover many topics so you’ll need to work through quite a list (great resources for you post surgery) & will have some on the differences and benefits of the different surgeries. All the best.

So I'm about the same size that I was in high school. I weighed 160 my senior year when I was going into the military. I weigh 176 now. I've had kids, so I don't expect to get to my high school weight. REALLY hope I don't lose another 16 pounds!!! But I'm in a size large now (XL is getting a bit big now) and I haven't even had my skin surgeries yet. I have to be able to maintain my weight for a year before I can have it, and so far I haven't been able to stop losing to be able to be in maintenance. Hopefully my body levels out soon... I know about the 2-3 year rebound weight gain, and I'm actually looking forward to it lol My final goal was 190, so even if I gain 10 pounds, that still puts me below goal. I'd like to maybe get to 185-187 and maintain so I can have my skin surgery (I may drop another 3-5 pounds after that, but more importantly, I'll likely go down a size because of how much skin I have that will be removed).

I think trying to compare yourself to others to determine what's "normal" is a losing game. Plenty of people struggle with various things like fluid intake or nausea early on, but lots of others (like me), had very few issues at all. There really is no normal here. Regarding weight loss, it's only been a week. I'm quite sure you've actually lost some fat in the last week, but you are probably hanging onto some water weight after the surgery. That's quite common. I would suggest that you keep in mind that you're "playing the long game" here. Daily or even weekly variation in your weight are not things to be concerned over. It would be physiologically impossible for someone to eat 600 calories a day and not lose fat. It probably takes more calories than that just to keep your brain alive (much less the rest of you), every single day. If I can give you one piece of advice, try not to stress the process because stress can derail your success really quickly. People sometimes don't realize this, but stress can have a bigger impact on weight loss success than just about anything else. Stress will suppress your metabolism and also cause you to retain fluid, thus even further masking weight loss. I know it's hard, but trust your doctor, trust the process, and follow your post-op diet. It will work, as long as you do what you're supposed to do.

Happy New Year! So glad I have you guys to help me through this journey! I don't always start the new year feeling great about making changes but that's different this year because of surgery. I have always made some kind of goal or resolution to lose weight or workout more over the years and have always felt like I "failed", but this year, I think I'm going to leave weight loss goals behind and just enjoy the ride as I continue to lose weight. Even though I still have about 60 lbs I want to lose, having lost over 40 lbs has made me feel so much lighter and better in my body. I want to focus on the positives and not so much the long ways I still have to go, because that feels like thats how my life has always been, such as "I will do this when I lose weight..." or "I will buy that dress when I lose weight...". I'm tired of waiting and hope to live more fully and authentically this year. Anyways... I'm rambling. I'm just really wanting to change my mindset and focus on positives.

I do not want to be muscly lol, I want to be lean and toned. so maybe I cut down to 3 then...hmmmm. Now that I have lost all the fat that I can possibly lose without looking like a skeleton I wouldn't actually mind gaining a little bit more weight back. I start my weight lifting days with 15min of jogging or 15min of the stair master then do about 40min of weights. Cardio doesn't do much except I just feel good afterwards, like the endorphins, the sweat, just elevated heart rate lol which is why I wanted to do at least 2 days of that. I have been relying on the internet to give me workout regimens since weight lifting is new to me. When you 3 days do you do full body workouts each of those days? (You seem like your a guru at working out, sorry if I am asking too many questions) I agree you cant workout a bad diet so I focus on high protein low-ish carbs. My typical work days macros are 1300-1400cal 130-150g protein 75-80g carbs, 20-30g fat on my rest day its less since I am not as hungry. Idk if that is good or if I am effing up my sleeve. I haven't gained weight by doing this, but ya know its scary to fall back into bad habits.

Hes on the max dose now he tells me. I am away from him at the moment visiting family so I am unsure of the cc's. Hes been on it since the Novenber, so pretty good. Hes very immobile so its all down to it lessening his appetite. 16 kgs is a lot. 2.5+ stones, I work in old weights. Imagine carrying that weight of potatoes with you now. You might not see it on yourself but next time you go to Asda just look at the potatoes, put them on the scale. Its a lot x

I can't believe it. I got on the scale this morning and it was 244.5 lbs. I've officially lost half of the weight towards my goal! I'm down 76 lbs since my highest weight and 63 lbs since surgery. And I'm not even 5 months out! I really didn't think it would happen this quickly. And weirdly enough, I feel smaller now than when I was this weight before. Weight distribution is a funny thing. Here's a pic of me pre-op at about 312 lbs, and two pics of me from today! I have so much more energy and mobility now. I'm so grateful to myself for having this surgery despite my fears and concerns. It has been SO worth it! Big thank yous to all of you guys for supporting me as I go through this, I really value this forum and everyone who posts here! ❤️

I have been on Zepbound since Feb 2024, I have lost an additional 72 lbs while on this drug. More weight loss than my gastric sleeve. I lost about 52 lbs from that. I am on a higher dose now but have been steadily on it for the past 3 months without upping the dosage. It is not a dramatic loss but steady and Im good with that since I was at a complete stall of weight loss after the sleeve

Hello all .I am 47 yrs old and was sleeve in 2017..Before surgery I was 295 got down to 175 . Fast forward I am divorced single mother and I began drinking heavily gained 30 lbs so I did the endoscopic revision where they re-tighten the stomach the first week I lost 7 lbs mind u I had my revision 9/5/2024. I am almost a month out I don’t feel any restriction and I never feel full… The surgeon said I won’t feel any real restriction because Im not on a regular diet yet . i am on soft foods now but I feel myself getting very depressed because I haven’t loss anymore weight please any suggestions would be helpful.I really want to feel like myself again and lose these 30 lbs..

Ah 2 weeks ago I did an inbody test and today I did it again to just see if I am going in the right direction. Well, I've lost "weight" but I think i only lost water and muscles I'm down 1 kg muslce and actually gained 300g fat! Ahhhhhh why does everything have to be complicated? The coach in the gym told ne to up my protien and take PT classes to focus on building strength and muscles but is she right or is she just trying to sell her services? I'll sit n discuss with my team on the 15th and decide what to do. On another note, I tried the power stretch class today and I stretched muscles didn't know existed hahaha it was amazing but tiring like I burnt almost 400 cals. P.s. attaching my 2 weeks and today inbody results

@Bypass2Freedom I absolutely hate that comment, I get that all the time. Or "Don't loose more weight, your getting too skinny or you look really muscular" I just say no I am normal weight you just have never seen me at this weight so it looks really thin or I am in the best shape of my life, and I worked my ass off so thank you for that! Anyways its annoying AF!

If you can do it, it probably will save you a lot of mental stress. It’s hard even though your brain knows that it’s not possible that you’re gaining but yet it’s still somehow messes with you. Well it does me at least.

I guess I have always done everything I have wanted because I was never overweight until 5 years ago. But the things I have noticed NOW (never noticed before WLS): - I don't need to sit as often, I can stand for long periods and don't get the urge to find a seat. - My feet don't hurt walking so much. I was traveling the past two weeks and we walked A LOT! Every time we traveled the past few years my feet would kill me, this time was a breeze. Things I started: - I took up Pilates. I have a bad foot (sports) injury that caused my weight gain so always had a fear of doing Pilates although I consistently worked out my whole life but was nervous to take up Pilates for some reason. Now my two Pilates classes are literally the highlight of my week. - I look forward to weddings and gatherings where I avoided them like the plague and they used to cause me social anxiety and made me feel so down about my body. - Changing my wardrobe LOL, I am shopping like nobody's business. I am buying stuff I never would've bought the past few years. Lingerie, crop tops, shorts, short dresses, workout gear. You name it! - Weighing myself regularly. Was never a weigher even at my fittest and slimmest, and that's probably was what caused all the weight gain because I refused to face reality. Things I see myself doing in the future: - Probably getting some lip filler LOL. - Having my third child (maybe? I put it off because I was overweight and I couldn't fathom gaining more weight) - Getting my foot surgery (although it feels much better so I will need to reassess).

When I started eating solid foods, I noticed I gain weight a few pounds in the first couple of months. This can happen as your body adjusts to a new diet. It's important to watch how your body responds and make changes to your eating and exercise habits if needed. Everyone is different, so it's important to find what works best for you.

Balloon, much like lap band, is not very common these days so you may not get many responses to your query from people with a balloon. Unlike weight loss surgeries, the balloon won’t stop your hunger. It just makes you feel full more quickly as it takes up space in your tummy. But even with weight loss surgery, your hunger does come back so we all have to examine our motivations for eating, discover the difference between head and real hunger, change our relationship with food, etc. For example, could your hunger be head hunger? That is, is your hunger coming from you (consciously or subconsciously) looking to sooth/comfort yourself because of the emotional roller coaster and stress you’re likely feeling from having the balloon inserted and the changes you are having to make. This is very common occurrence. But yes, contact your doctor to ensure everything is working as it should. May be enquire about seeking some counselling to support you through the head work aspect of weight loss. Many find it very helpful. PS - Out of curiosity why did you go down the path of having a balloon inserted versus a sleeve or bypass or one of the other weight loss surgeries? Was it because the balloon can be removed whist the other surgeries are pretty much irreversible?

I have a question… I had surgery a month ago and lost 20lbs. (That’s it 😒) then this week I weighed myself and I gained 2lbs! Is that normal? I’m doing everything the doctor told me too. Drinking a lot of water, eating a ton of protein and exercising. Am I doing something wrong? Thank you!

Pardon my ignorance! I had gastric Bypass on January 15th. I had mine done due to gastroparesis not for weight loss. I weighed on average 250lbs before surgery. As of now I'm at 220lbs. Yes I have lost nearly 30lbs. Most of my weight loss was right at first and have hit two major plateaus after surgery. I consume little amount of calories. I mainly have protein shakes which consist of Premier Protein or Redcon1 MRE. I eat ground proteins like lean beef or turkey. I am very strict on my diet. I work out daily and put in at least two hours. I would thought my progress would have been greater. I'm trying to lose weight before I return to work and build up my strength. I feel like I'm failing and I don't know what to do. Is this normal? I've been stuck at 220lbs for almost two weeks now. Please don't beat me up too badly in the comments.

I don't know if I'm a good example, but I'll share my experience anyway. I reached goal at 3 months, but continued to lose until about 9.5 months, stabilized for nearly 3 months before losing a bit of weight again now (12 months postop exactly). I lost most of my weight in the first 4 months, then a total of 10 kgs in the next 5. If we look strictly at my journey then my weight loss and stabilization happened early on, however, if we look at how much (context) then it makes sense. I lost around 38 kilos starting at a BMI of 33. Will I lose more weight? Maybe, Maybe not. Now, everything about my journey has been fast, the weight loss has been intense and rapid, my restriction was(is) the bane of my existence, and during the first 4 months I barely ate to survive. I learned that that is not the case with everyone, I have seen people who were able to eat much more than I did and lose a ton of weight, some people ate little and lost weight very slowly, I heard stories where people continued losing for 24 months post op. Your diet is the most important factor and exactly how much you eat, your activity and your new metabolism will determine when you stop losing and what weight you stabilize at. As long as you are conscious about what your intake is and maintaining some level of activity (that is sustainable for you in the long run), I don't see why you won't reach your goal, but when depends of the former factors. Another thing is, what gets measured gets managed. While I'm not a fan of obsessive tracking, keeping an eye on your weight and caloric intake can really help you stay accountable and understand what needs to be tweaked, added or omitted. I say, don't sweat it and don't compare yourself or your progress to anyone. Also, life is too short to live in anxiety and fear, if you lost weight then that is already a win, I feel we get so hung up on a certain number or BMI or percentage or size forgetting that living in fear and anxiety is the worst way to exist, no matter what our body fat percentage is. And, Well done on your success so far!

i know several people who are on or HAVE been on Ozempic (including me**)...all of them lost weight in varying degrees...all with different starting weights. but they all did lose weight and it was noticable (to me). from what i can observe, the ones who stopped taking it gained the weight they lost back eventually. the ones who are still on it seem to maintain the weight loss. **i tried ozempic last year for fun/testing as my mom is prescribed it for diabetes and she had some surplus. I used it for a month at the lowest dose, and by the end of it i lost almost 8 lbs (and my starting weight was like 120 so that was actually quite a lot for my size). i stopped taking it because really, i didn't need it and just wanted to see what the fuss was about anyway. within a 2-3 months i gained back 5-6 lbs of the inital loss. so end net result was minimal (for me). in summary: - it works, but it seems you have to keep taking it indefinitely for long term maintenance. - it is expensive, so keep that im mind. - im my experience (and the general consensus of those i know who take it), part of its charm/workablitiy is because you basically don't want to eat when you are on it. so when you get off it, you want to eat again. - if you have the means and desire and accesss you could try it and see for yourself...the initial weight loss may even be a mental boost to inspire you do more on your own? good luck!

First stall. It’s not uncommon to experience a number of stalls as you continue to lose weight. Try taking body measurements. Sometimes when the number on the scale doesn’t move (or fluctuates around the same number) the numbers on the tape measure will change.

I had GS nine years ago. Lost a lot. During lockdown I transfer addicted to alcohol. Now I'm sober, but, transfer addicted back to food to get there and have regained over half my loss back in the last year. So, what to do? I'd appreciate thoughts from those who got revisions and how they think it has helped them. Thanks.

@Arabesque hit all the important points. I will reitterate that it's hard to fail the psych approval or any WLS approval really. Honestly, the thoughts you are having are not unusual. Many of us worried about not being approved because we did so much wrong to get to our weight (I was 500 pounds overweight). It doesn't matter. Even knowing this I still fretted over the psych evaluation. I was certain I would be rejected for this life saving surgery. But I fooled them and was approved. You too will be approved. If you believe you can lose your weight and keep it off, then do it. Surgery is forever. Evaluate your history of weight loss attempts, if any. Many of us could lose weight. It was being consistent and maintaining that was the problem. If I honestly believed I could lose the weight and keep it off without WLS I would have done it. But I had 20 years of not being able to do it no matter my beliefs that I could. For me, my comfortable weight is just barely into 'overweight' because I'm tall and I didn't like being a stick (I was 'underweight' for a while). This decission is also all you. It's your body. There is no law that you have to have a normal BMI. Do you. Trust yourself. Tek

Firstly...big congratulations on your weight loss success. Amazing results from a recliner. Wowo!!! I didn't have DS and haven't tried Keto post surgery. But I did the diet for a year right before WLS, coupled with intermittent fasting. Despite my efforts I only lost 30 pounds on the average then hit a wall. Eating high fat meats might not be the best for you at this point but everyone is different in how their body responds to food after WLS. Lean meats and veggies is pretty much our food plan now. I am interested to hear what others have to say on this subject because although I have been able to lose weight adding carbs to my diet (at the urging of my nutritionist and to my keto minded horror), I haven't tried any types of "diets" to get the last few pounds off post surgery. Some say I have probably met my goal weight and the excess pounds are lose skin?? But I don't have a lot of excess to be honest, so not sure about that. I am also a big advocate of extended water fasting a couple times a year for cleansing purposes, but have not attempted it post. I was told it might mess up my sped up metabolism tool. I don't want to risk that happening. Also, I don't relish the idea of returning to a diet mentality. And I will admit, I enjoy being able to eat some carbs now where before, I could just look at them and gain weight. LOL Godspeed on your healing process for the bilateral knee surgery. I have a feeling after you are able to get up and move around, you just might lose those last 40 pounds without the Keto, GL

I too have gained weight and I don’t know why. I can still only eat a little bit. I do drink wine every now and then but I have no idea what it is. I’m 72 years old so I don’t know if it’s got something to do with metabolism or what. I was 198 and I got down to 110 but felt good at 117 and I’ve slowly gotten up to 140. Everybody says I look good but I know that when if I the 20 pounds less I felt much better anyway there’s nothing I can do about it. I’ve tried everything. It’s been six years since I had my surgery.

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.