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7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

I had a revision to SADI on 8/7/2024. Lost 70 pounds but then I started chemo for breast cancer that I was diagnosed with a day shy of my 3 month surgiversary. I was told not to lose quite as fast by the oncologist and the oncology dietician so I have since only lost ten more in 2.5 months. Anyways, my double mastectomy is tentatively scheduled for 5/8/2024. During that surgery they remove all the breast tissue and put in Empty bladders they call expanders and then they slowly fill them each week with saline in the office to stretch the skin making room for the implant. The cosmetic dr says that I could take my time and try out all the sizes and go up and down and then do the reconstruction surgery to put in the saline implant when I’m sure of the size I want and I loved that idea because I want to go smaller but I know it’s going to take a while for my brain to get used to it. The problem is that I have to begin radiation 6 weeks post surgery and the process does something to your skin that makes it very hard to stretch so the radiation Dr says I need to decide on a size before I start radiation treatments. Well I don't think it would be a good idea to postpone radiation just to decide on a breast size so I kinda need to know what my goal is right away so he fills it fast enough for me to get there within 6 weeks. At the same time it will hurt worse the faster we go. I am currently a 36 G. I was thinking maybe a 36 C or D would be small enough that they don’t get in the way with exercise and hurt my back and neck but not look too small after seeing myself larger for so many years. Also if I drop more weight and get to say a 34 I would be a D or DD but what if I lose more weight I mean I want to keep going if I can and then I’m a 32 DDD. I was a 32 C when I was younger and I think when I got my implants I went to a small DD but I sorta doubt i will get that small again, honestly. how much weight did you guys lose between band sizes. I was thinking that if I get to 158 I would be thrilled and that’s only 20 more pounds so I know that I won’t get to a 32 at that size. Do you think it’s possible I will get back to the 120’s. I know the last two months threw my pattern off a bit but I was losing steady at 3-4 pounds a week before all of this. Is there anyone with similar stats that can tell me about their experience with SADI or maybe a virgin bypass. My loss trend was similar to that according to the NP at 3 months out. I really wish I could do this after I get to my low weight and stabilize. All I want is to be able to buy bras in a normal store and not have to pay a fortune for lunch lady bras anymore or have my back breaking and poor posture from a too large chest. But at the same time I don’t want to look too small. I figure that I would find the smallest size that I could get used to so when I lose more weight it will probably be perfect but I won’t have time to get used to it like the surgeon and I hoped. 😢 So I get that cup size is a matter of preference but can anyone with similar stats tell me how much they ultimately lost if they were losing 3-4 pounds at 3 months or how much weight they lost between band sizes or 36-34 and 34-32. Or anything else that may help me. I’m so scared I’m gonna decide on a size and my body is going to change but since it’s all implant after this surgery my boobs won’t change with me with loss or gain and I will be way too big or small for my frame.

So I am six months past surgery. My initial operation was August 21, 2023. I was 328 on the day of, and 376 at my highest before surgery. I lost 20 pounds by 2 weeks after the surgery, and have not lost weight since. I had weighed 305 since then. I noticed my weight creeping up on the scale now, and I'm at 309 again. I will say, however, I have gone from wearing a 4x to wearing a 1x in shirt sizes, though have only gone down two sizes in pants 28 to 24. I am struggling with drinking water. I feel starving. I've noticed myself wanting to eat every few hours. Then when I eat I vomit, or feel nauseous and spend a good amount of time nearly throwing up. Whenever I drink water I get that pre-vomit spit thing that happens and my mouth just makes spit for like 30 minutes and I feel awful. I think lack of physical activity has kept me held back in terms of the stagnant weight, I spend most of my days in bed or sitting in a chair at a desk. Is there anything that has helped anyone, any slight tricks to fix me? I don't want to hide and say I'm doing all the things right I'm doing great anymore, I know I'm not doing the best and I am looking to find support in getting there.

When my wife and I were first looking into WLS 20+ years ago, there were several newer procedures, including the MGB mini-bypass, DS duodenal switch and the VSG vertical sleeve gastrectomy, that were circling the periphery of bariatrics, which at the time was mostly lap bands and the RNY gastric bypass. These were the only procedures that were endorsed by the ASBS (American Society of Bariatric Surgeons) - the predecessor name for today's ASMBS. Since that time, the DS, VSG and newer SIPS/SADI/"Loop DS" that have gained endorsement from the ASMBS and general insurance coverage in the US. The MGB never made it past that hurdle here in the US, so isn't commonly done or covered by insurance. Bile reflux seems to be the major legacy problem that caused the profession to move away from it at the time. There are claims that some new techniques have been developed to minimize that problem, and maybe they do, but it's a hard sell to make it mainstream in the US. It has become more accepted in other countries. Overall, being in the States, I wouldn't be overly eager to go with the MGB as it is not commonly done here, so there are fewer MDs around who are familiar with its' care over the long term; the RNY, in contrast, has been done for around 140 years for reasons other than weight loss, so is a well known configuration in the medical world, as are the problems one may encounter over the years. If you have an unusual configuration like an MGB or BPD/DS, it can be harder to isolate any health problems one may have years down the road owing to the general unfamiliarity with the procedure -at least the DS has significantly better weight loss and diabetes results than the other procedures to make that a worthwhile consideration. If you live in a country where the MGB is commonly done, then it would be a worthwhile consideration, but the US has too many other mainstream procedures commonly available and accepted that do as well or better than the MGB that it doesn't make much sense here.

Yay! Happy to hear it went well for you and that you are feeling pretty good post-op. Congrats on the weight loss and the progress you've made so far! 🤗

Taking care of your mental health doesn't have to cost money. You can talk openly with trusted friends or family about your body image issues and low self-esteem. Or you can post here in this forum where you will find hundreds of people who share a lived experience of navigating the world in larger bodies. You can heck self-help books out of the library. Or buy a notebook from the dollar store and start journaling about your thoughts. You can meditate with the help of free YouTube videos. Or listen to relevant podcasts. You can find free sources of help if it's important to you and you want to make a change. Then again, I don't know you, so I could be completely misreading the situation. You can ignore this advice if you think I'm wrong, or if you just don't think anything I've suggested is worth trying. But after reading your original post, I thought it was important to say that if you can't immediately reverse your weight gain, it doesn't mean your life can't be really good.

Well, I don't fit your criteria (I was at about a 47 BMI at my highest), but I wanted to provide some overall perspective. There will always be some people that regret having bariatric surgery regardless of starting weight, but studies suggest that the vast majority are happy they had it done. The satisfaction rates seem to be about on par with other major "elective" surgeries such as joint replacement. In the studies available, there was a very strong correlation between satisfaction and weight loss success. That makes sense, because if you can't maintain the weight loss, this would tend to make you think it was a waste of time, money and that you went through a lot of hardship for nothing. Another strong correlation existed between those with eating disorders and dissatisfaction. Again, this makes sense because of the correlation between success and satisfaction. If you have an eating disorder, it's certainly possible to out eat any surgery. Those that report the highest satisfaction would tell you it was nothing short of life changing. At the end of the day, only you can decide if it's the right decision for you.

Hey sorry for being so quiet, I just had emergency surgery the night before last. Apparently, my intestines got tangled up in my hernia and caused a painful/dangerous blockage. Anyway, I'll spare you the details, sorry about before, in my first post-op post, Everything did go well the first two days then I got really sick and had to be rushed back to the hospital. But I am feeling much better, and back home resting. starting weight: 498 lbs weight loss: 98 lbs surgery weight: 404 lbs current weight: 400 lbs

From various bariatric groups that I'm in, I hear that the people who regained weight who luckily regained control of their situation, They stated that they shifted their mindset and went back to things that Worked from the beginning. some said they quit night time snacking. Some went back to tracking their food, some stopped over eating, some stopped eating out and went back to cooking their own food and meal prepping, so it looked like they were just getting back to the basics that helped them lose the weight at first. Movement was a big aspect as well. They started back walking Or running.

ok, so not gonna lie, mr. told me years ago he missed my ginormous boobs, i had huge boobs even as a thin thing (i actually got a breast reduction when i was 29 because of chronic back pain (i was like 130 lbs at the time). but even after the breast reduction, they were still pretty ample. then the weight gain started and they became the size of my head (EACH!) lol. mr. was in heaven. fast forward to WLS and the resultant deflated balloons, but Mr. was still satisfied with the "handfuls" he could grope. ....then i had a breast lift, which removed the excess skin and tightened them up all nice and firm (and made them smaller). I LOVE THEM OMG. but Mr. went into a mini-mourning....i'm like a 29C right now, jeez...that still respectable! ...BUT he did say that the re-ingintion of my "adventurism" during sexy times more than makes up for HIS perception of my smaller boobs. plus he has also commented many that my confidence and all around relaxed attitude is GOLD. sooo...long story short. boobs or not, its all in the ATTITUDE.

Yes, it could be the beginning of a stall but remember all the weight loss rates you read about and weekly/monthly weight loss goal you may be given are all based on averages @eJean. For everyone who meets those averages there’s someone who exceeds it and someone who doesn’t meet it and that’s okay. There’s nothing wrong with having lost 16.5lbs in your first month. Don’t ‘only’ it. You’ve lost more than a stone in a month. Amazing! I remember my weight loss slowed so much around months 5 & 6 I was losing grams/ounces a week @Bypass2Freedom. I never thought I would hit my goal - it was hellish frustrating to be so close yet so far in my mind. Yet I did and then continued to lose 11kgs more for another 11 months at various rates. So don’t give up. Do remember though that if you reduce your calorie intake to reduce your weight more you will have to continue to eat less than you are now to maintain the lower weight. You never know the weight you will stabilise at and you can maintain. You can stay your oath or make some adjustments and see what happens. Oh, and don’t forget you can still experience stalks along the way nit just at the beginning. PS Check out a basal metabolic rate calculator. They’re not perfect much like a BMI calculator but might give you an idea of whether you are eating less than you need to maintain your current weight & the activity you are doing. If you are consuming less than they say you need you should keep losing.

I remember my hands especially were so puffy with fluid. It took over a week just to get back to my day of surgery weight because of all the fluid. But you're still losing fat even if the scale doesn't show it, so don't worry!

I recorded mine as the weight my GP recorded when she gave me the referral to the surgeon. To me, that was when I started to make the change to a healthier me. So put that initial 421 weight @SleeveToBypass2023. Every pound you’ve lost needs to be recognised and acknowledged.

I get comments and I haven’t even had the surgery yet. My surgery is on 7/25 and when i talk about my goal weight, I get the whole that’s too much weight loss, you won’t look good. How are you going to tell me that a healthy size I once was before I started having weight gain issues will make me look unhealthy. I learned not to talk about it with certain people because they really aren’t supportive. Some people don’t want to see you change for the better because then you are leaving them behind.

this is not the first time, but it happened again...and i think it's happened often enough now for me to consider it a "normal" thing: I. Lost. Weight. On. Vacation. it still fascinates me when this happens because the norm prior to wls was to GAIN weight during vacay. Every. Single Time. (even when i was not overweight) Went on vacay 20 days ago, and came back this afternoon. I did not count calories, track food, weigh myself, nor perform a lick of exercise (besides walking) all that time. And lo and behold, i lost 3.1 lbs. which is very unexpected, because me and Mr. basically ate and drank ourselves across a good part of europe, and i fully expected the scale to show a good sized weight gain when i got home (he says HE gained almost 4 lbs). honestly i felt like i ate (and drank) more in the past 3-ish weeks than i ever have since WLS 5+ years ago...but maybe i am mistaken? maybe i should have tracked my food intake after all... anyway, yay! i may just have to fully accept that i got this maintenance thing down pat. i didn't think about calories or portion sizes or whatever...just ate (and drank) what i felt like, in amounts i knew i could handle. yay!

I will be 2yrs post op in Sept this year, I only lost 70 lbs and I have gained 15/20 of that back. I’m so uncomfortable and frustrated with my body. I’m hungry constantly, absolutely NO energy, tired all the time. Was dx with Narcolepsy on top of sleep apnea this year. I see myself falling back into my old habits and I’m absolutely terrified I’m going back to my weight gain. I need some hard truth given to me. I feel so lost and in a horrible slump that I can’t get out of.

Like the above poster stated little fluctuations are completely normal and they can be due to a number of factors (water weight, hormones, a full bowel, etc) . I am two weeks post op from a differnt procedure but I am assuming the post ip diet is quite similar and that happened to me as well. I attributed it to my body coming out of ketosis. The liquids on my diet were all zero sugar and the purée foods did contain some sugar which is a carb. It also could have been because I was constipated from the supplements and not getting any fiber from my diet yet. Either way I went a few days maintaining that gain and then dropped 4’pounds overnight. The advice above to weigh weekly is really good. Monthly would even be better but it’s really hard to do. I had the sleeve 3.5 years ago and what I did was to weight myself daily because I just had to but to record my weight once a week so that I could see a downward trend more easily when I looked back at the log.

Yeah. I'm big boned anyway so I'm supposed to be a little overweight. I'd rather set a realistic goal and succeed than try to get down to the weight I'm "supposed" to be and fail and get discouraged. Besides a weight loss of nearly 150 pounds is still a pretty significant weight loss it's losing an entire person worth of body weight.

Hi every one I am new here I had my surgery on October 24,2023 my date of surgery weight was 322 and I am currently 198.6 which at times I can not believe how much I have lost but at other times when I am in a stall I feel like it goes so slow even though I am grateful the way my body looks or the way I see myself in the mirror places tricks in my head I also want to know how you guys stay consistent with working out and eating healthy all the time because now at almost a year out I am scared from all the weight gain stories and I am scared because now I eat a little more than before and I just want to go back and I am so scared. My nutritionist suggested this app and so far I love reading everybody story.

Yup...gaining water weight every day! Super depressing looking at that stupid scale. I used to have a diuretics everyday...now Dr. says no more diuretics. Don't have a clue what to do next. It is impossible to gain real weight eating between 500 & 600 calories/day.

Tomorrow is my 2 month surgiversary and I'm already halfway to my (numerical) weight loss goal!

A few things stood out to me about your post. 1137 calories is oddly specific. Since most people can't be that accurate with their food intake, I'm curious why you used this specific number? Can you elaborate? For example, most food logging software is only accurate within about 10% plus or minus, even if you are really meticulous with weighing everything. Keep in mind as well that if you are eating very many processed foods, Manufacturers are given a pretty wide latitude in terms of the listed calories, so those aren't near as accurate is you might think. Most people drastically underestimate their overall calorie consumption by as much as 20 to 25%, even if they are logging their food. There are a number of reasons, but things like guestimating certain amounts, using "average" calorie amounts for some items, and not counting certain types of foods are common errors. In short, you may actually be eating a lot more than you think. I'm also curious how you came to the conclusion that 1137 calories per day is the proper amount for you to lose weight? It's entirely possible your Basal Metabolic Rate (BMR), is anywhere between say 900 and 1700 calories per day. While BMR is just one component of your overall calorie burn per day, it's typically the largest single component, even if you are super active. If you are only working out 3 days a week, I'd not put you into the super active category. My point is that while it's not super likely, it is possible that you are actually eating at maintenance right now. Especially if you are eating more than you think. (See points one and two.) Scales are a REALLY terrible way to track success since they don't account for variations in other tissues besides fat. Water, which is a huge component of your overall weight can fluctuate dramatically day-to-day. Ask yourself honestly, are your clothes fitting differently? There is a pretty good chance here that you have been losing fat, but made up for it by retaining water in your muscles. This is super common in people when they work out, especially when they start a new fitness routine. There's also a small possibility you are actually adding some muscle mass, especially if you are new to strength training. Muscle is much more dense than fat, so if you gain muscle and lose fat, your clothes will fit better, but you might weigh about the same. My advice is going to sound counter-intuitive, but I'd suggest adding 200-300 calories per day to your diet. Preferably lean protein. Do this for 4 weeks and then reassess where you're at. If you are really currently eating at maintenance (as you might think from weeks of no loss), then you would be expected to gain a tiny bit in the next 4 weeks. If it's as I suspect and you're actually eating too little right now, eating a little more may actually up your metabolic rate as well as change your hormone balance. This could be just the thing to kickstart some fat loss in the next 4 weeks. Best of luck whatever you decide.

It is still super early on for you, but it seems like you are doing a great job; both with your protein intake and your weight loss. We all lose weight at different speeds, but it's about not adding foods in too fast to let your body heal and making sure you are getting all the protein and vitamins you need to keep your body healthy. Keep making good choices and enjoy the journey!

I've gained about 5kg and am approximately 5 months post RNY. The surgery is something that I'm getting used to because of the restriction. I definitely feel full after eating a smaller portion. With the MGB, I had zero restriction and could eat like a horse, but not one iota was being absorbed. My energy levels were shot. Post RNY, energy levels are better and blood test results are showing that I am actually absorbing the multi vitamins etc that I take, this absorption was absent with MGB. If you are going to revise from MGB to RNY to a little gain weight, your surgeon will have to tinker with the limb lengths. My stomach pouch was kept the same, so I have an RNY with MGB stomach pouch but customised limb lengths. I think I will know more about the final result in a year from now. I can hand on heart say that MGB was a mistake, because it was too powerful a procedure for me. I should have just opted for RNY from the very beginning, but because I was paying privately for the procedure, I thought it best to go for MGB at the time, for two reasons, one it was powerful and two that it was safer than RNY. Only one limb gets cut and replumbed with MGB but two with the RNY. I have seen fantastic results with people who have been sleeved. But, for me, I have a food and sugar addiction. I do not have an off switch, so in that sense poor discipline when it comes to controlling my relationship with food. I'm also bone idle. On that basis I had ruled out the sleeve. I hope it was the correct decision. Ideally, people should opt for the sleeve for weight loss and RNY for those who are in a similar position to myself.