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Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

I agree 100% that BMI is completely flawed. When I was young I did fit right in there but at around 25 I just started gaining and never stopped. I would love to get back to that perfect BMI but I just don’t see if Happening for me.

Has anyone done a low calorie diet and not lost weight, but had success losing all the weight with VSG? I’m curious how it works if eating low calorie didn’t work out. Even though I’m getting VSG, I’m scared it won’t work since I have not lost weight with the low calorie diet.

Thank you @Shanna NYC for your kind words. I broke my stall (slightly) this morning and am feeling much better for it ... I also know that I need to work on my coping mechanisms and be kinder to myself. Up until 2019 I'd never weighed more than 115 pounds for my whole adult life ... and then I gained nearly 100 pounds in just over a year and have spent the last 3 years desperatly unhappy and going through cycles of loosing and gaining the same 20 pounds and you are right ...25lbs is more than I've lost on any of the crazy diets I've tried... So I'm on the right track! Merci Encore (as we say in French!)

Honestly i never wanted this surgery WLS, i refused it fighting with the doctors the whole year. But when i learned it was actually meant for GERD patients to help us eliviate the reflux and saving our throat is when i said Yes i'll have the surgery. Doctors noticed the weight loss for GERD patients then it became the number 1 surgery for obesity. Perimenopause has a huge hand in our weight gain belly and reflux triggering more. Our hormones are off the track so I do take BHRT (BioIdentical Hormone Therapy) to help with a lot of my symptoms. Overall i really cant tell if my reflux is worse or not it's there regardless and i cant get off my meds.

Ok, so there are lots of posts out there about concerns about speed of weight loss, amount of weight loss, how much is too much weight lost, how much is too little, etc. etc. The same responses inevitably come back, about how we are all different, we lose at our own rates, genetics, starting weight, height, gender, age are all factors, don't compare, etc. etc. But the reality is that no one really cares about the reasons for the differences, we all seem to just wanna see the NUMBERS. And then compare them to our own. Le Sigh. Sooooo....being a one who personally LOVES numbers and data and spreadsheets, I thought I would start a little project. I want to collect stats from any willing members and i will compile the data into a lovely spreadsheet and graph(s) organized by certain variables. Doesn't that sound like fun???? 😂😂😂😂 So, for FUNSIES, send me the following info (if you are willing!), and i after i collect a good-enough sized sample (say at least 100?), I'll do my thing. It may take a week, a month a year, depending on how many people participate. 1. Basics: GENDER, AGE, HEIGHT 2. Total Weight lost in the 6 months BEFORE surgery (if any) 3. Weight on DAY OF SURGERY. 4. Weight at 1 MONTH POST surgery 5. Weight at 3 MONTHs POST surgery 6. Weight at 6 MONTHs POST surgery 7. Weight at 12 MONTHs POST surgery * the final report will have names/usernames removed in an effort to a bit of privacy if you don't want to reply to the thread with the info, feel free to DM me ** of course this will not be in any way some definitive scientific report! - ms.sss

Hi there! Newbie here. Been reading a lot of the threads and already feel like a lot of you are my friends when I haven't actually spoken to any of you 🤣 I had my surgery on the 17th of December 2023 and my stats were: Height: 166 Cm (around 5'5/5'6?) Weight: 90 KG (198 lbs) I didn't do the liquid diet because my surgeon doesn't believe in it. Also, my surgeon specifically said "I will be very happy if you lose 20 KG (44 lb) but it's quite unlikely".I wan't heavily overweight and I was very athletic with a lot of muscle mass. Fast forward 18 weeks post surgery I have lost around 28.4 kgs (62.48 lbs) and my surgeon's mind is kind of blown lol, he wants me to stop losing but I do not think I am done yet. I get these comments that I look "stick thin" but mostly get many compliments as there is no sagging or loose skin (due to muscle mass pre-surgery). My problem is that I have hit my first stall ever this past week where I didn't lose anything (I was losing quite rapidly) and I am low-key freaking out. I still want to lose another 7 Kgs (15.5 lbs) just to have a wriggle room if my body decides to gain a little rebound weight later. I have started some heavy lifting the past week and man I am SO SORE so I think it's due to the inflammation? I am quite sad and disappointed to have not lost any weight the past week and I need some emotional support. I eat around 800 kcals a day with 65 grams of protein - give or take- (starting the past 2 weeks as I was still on a 300/400 kcal a day prior to that). Could that be another reason? Was anyone done losing at 4 months post op? While I know my weight is currently good/slightly under what is good for my height, I really want that wriggle room and I really don't want to be done so soon. Any advise?

It seems okay but it might be best to sit down with your dietician. Were you given any targets? I wasn’t given any other targets than 60g protein & 2L fluids & a nebulous low fat, low sugar, low carbs & given no calorie guidance. Others are given very detailed macros they’re to meet & there are differences in those too. But then we are different & have different needs & our surgeon & dieticians have different requirements. Oh & don’t worry you won’t gain weight eating less than 700 calories.

it's actually very common to have a rebound gain of 10-20 lbs during year 3. There was a dietitian once on Unjury's online support group who said in her clinic, they don't even consider anything less that 15% of the person's lowest weight to be a regain (so in your case, they wouldn't consider anything under a 21.6 lb gain as "regain" - it's just more-or-less expected). Granted, you're up more than that, but only by about 10 lbs. You can always lose weight again by getting back on track. If it's really tough to do that (and it can be..), maybe just make one or two small changes at a time until they become a habit. Start with something not super challenging - like logging your food intake - or taking a walk 3x a week. Or whatever...just anything that seems achievable. It all adds up in the end... A lot of people have dealt with this, so you're definitely not alone.

Do people think they've lost more weight than they hoped to, or are you happy with end weight? Any others who feel they didn't lose enough and what did you do, revision etc for example.

As long as your team thinks you're golden...then I wouldn't worry about it! I never said your calories weren't healthy calories..but too many good OR bad will put weight on. To be honest, I'm not sure why - if you're keeping in contact with your team and doing as they want..and they're happy with your progress why you're asking? The scale won't always show a downward trajectory, muscle weighs 7 times more than fat so if you're putting on muscle sometimes the scale will show a small gain..water weight ..time of the month...etc will account for 5 lbs.

The Week 3 stall is real! I stalled and gained 6lbs back between weeks 3 and 5, and just now lost it back in the last week. I've had several people tell me weeks 3-6 will generally have a stall and a slight regain due to your body panicking over the rapid weight loss, and readjusting its baseline, so it is part of the process. I've also been told a second stall/regain will occur around the 3-month mark, and last up to 4 weeks, so prepare yourself for that. I'm bracing for that coming up soon. Keep in mind the weight loss won't be like a straight line, more like stair steps with the occasional bump back up before dropping again. Just stick to the diet, and switch to weighting weekly to prevent obsessing over it (like I did haha). Also, several months from now, as you approach your goal weight, remember that gaining muscle through exercise will make the number on the scale go up, but that's a good thing. Muscle weights 1.5x as much as fat, so as you gain it, you will continue burning off fat, which is the "bad weight". About 1 year out, you won't worry as much about the scale, and will celebrate the wins in smaller clothing sizes, more energy, and better endurance/stamina! Regarding the caloric intake, my surgeon and team recommended I keep aiming for 800-1000 calories per day, but I am a 6'1" male, so my base caloric rate may be higher than yours. I would check back with your doctor or nutritionist to be sure, but I think 1200 is closer to the target after 1 year. Also prioritize water and protein first, followed by unsaturated fats, then try for any carbs/sweets/starches/breads and saturated fats last. My plan has me targeting less than 50g of carbohydrates per day, not low enough for keto, but enough to keep the sugar cravings and fat retention down. You may need to check your macros as well. Best of luck to you on your journey!

Hi from UK, Ive been booked in for surgery in July and was told to go on 12 week diet. I thought that's excessive as I've seen heavier people only do 2-3 weeks max. I have to do 9 weeks on milk and jelly, then 3 weeks on weight watchers soup and Muller. For example I've started today and I'm at weight I should be on 20th if I have like healthy protein based meal once a day in the 9 weeks that should be fine isn't it? I had boneless chicken today and weight didn't fluctuate thankfully so one meal a week for 9 weeks should be fine? Sorry if I'm rambling

You look absolutely amazing!! Congratulations on the weight loss. I don’t know how you do it with all the traveling. I think it takes some time for us to adjust to actually seeing ourselves thinner even after we have lost the weight. Even losing 45 lbs now I don’t always see myself thinner. Then I look at my English bulldog who also weighs 45 lbs and remind myself that I lost that much weight lol 😂 When I look at it that way it makes me see it differently. I am 18lbs away from my weight the surgeon wants me at but it is very slow going now. Some days I fluctuate between the same couple pounds instead of going down and making any real progress. Orientation at work already has given me a cough and stuffy nose. Too much time hibernating at home. I am anxious though to see if all the moving 8 hrs a day will get the weight dropping faster. I hope everyone continues to beat the scale and stay positive!! It looks like everyone is doing great!

Hi, I had the Sadi DS in Nov 2014 with a 40 bmi. My common channel is 300cm and I have no issues with malnutrition as long as I take vitamins albeit less than a Hess DS patient (non-Sadi). The less is more theory has worked for me, meaning a longer common channel gave me 100% weight loss and kept it off while keeping me from being malnourished. I can eat a horse and not gain weight, although eating poorly will cause gas and bloating.

This gave me so much hope. I hate feeling like I look like a hunchback. I used to have amazing posture, but as I gained, I think that I lost confidence and sort of cowered in my own little shell trying not to be noticed. I've been working on bringing the posture back to what it used to be, but I cannot wait for the neck hump to be gone!!

I'm finally home! My scales this morning say 76.3kg - thats 167.8lbs . I'm also 2 months post op as of yesterday. •⁠ ⁠Opération day weight 91.1kg 200.4 lbs starting weight •⁠ ⁠⁠Current weight 76.3kg 167.8 lbs current weight •⁠ ⁠⁠Weight Lost 14.8kg or 16.25%of starting weight 32.6 lbs lost •⁠ ⁠⁠starting BMI 32.65 •⁠ ⁠⁠current BMI 27.35 Now I just need to do two weeks of washing from Cairo and get back to the office here. But boy did I find my own coffee nice this morning!

The thing is that they assume that you can only eat so much so if you prioritize protein then veggies then you should only be able to eat a tiny bit of healthy starches, if any, and based on that theory everyone will be okay. When I had Sleeve three years ago I swear mine was left larger than most though because I could drink and eat more from day one than they said I should. I always said that I know I had surgery because I could no longer get my moneys worth at an All you can eat buffet but I could still eat quite a bit. When I was back to “regular” portions I hit all my protein goals then ate my veggies like suggested but still had room for more carbs than I should be eating. I did great in the beginning when I was told how many ounces I should be eating and I wasn’t hungry so I just stopped myself there but later on I think I needed more guidance than just calories and what to prioritize. I know I was an exception to the rule though. When I went back to discuss revision with another dr he said not that I’m suggesting it but if you were eating a sub how many inches could you eat and when I said 5 or 6 easily he said that I should not be able to eat that much. I believe that is why things went wrong for me. I reached my first easy goal I set to encourage myself but never made it to my ideal body weight. Then a few month later when actual hunger came back and I ate until I was full I started to gain even with the healthy options because of my portion sizes. Admittedly if I had not been frustrated and basically gave up at some point I probably would not have gained ALL my weight back and I would still be healthier now than when I started, but I know where things began to go wrong so this time I asked repeatedly until I got even more guidance from the dietician.

I don't think you fully understood what you signed up for. I work out 6 to 7 days a week and do not have any bulk muscle. I had the Sadi DS 10 years ago and I can eat a horse without weight gain but also no bulk muscle. Instead, I have excellent muscle definition and can work out at a level not possible before wls. The DS fortunately keeps the weight off, so you will never bulk up. You signed up for this, and it's a fantastic thing for you to be able to work out, eat what you want, and be healthy, especially given you previously weighed over 400 lbs.

Congratulations on your weight loss. I hope your sweating issue has resolved with your being closer to goal. I have question though? Do you recall the name of the rx your dermatologist gave you for sweating? I have a similar issue which I know is exacerbated by my weight but even when I lost weight with the sleeve it was still an issue. It’s horrible to live with. I have seen every specialist and had every test I can think of. My dermatologist gave me oxybutwnin which was great for my bladder but did nothing for the sweating. I would be thrilled to know that thete is another option.

Thought I'd update this post because I just had the chance to attend a live Q&A session with Dr. Matthew Weiner. I talked to him about my weight loss so far and concerns about how slow my progress has felt post-op. He asked me about pre-op weight loss and what my highest weight had been, and explained that even though I was 223 going into surgery, I had started at 251 and lost 12 lbs from nutrition changes over 6 months, plus 16 lbs from the pre-op diet, so that all factors into the final weight loss expectations. He suggested in terms of what my final weight loss from the surgery might be that using the 251 starting weight could be more accurate, and that the pre-op diet weight loss would definitely help explain the slower weight loss post-op. Bottom line, I feel so much relief hearing this explanation from him and really appreciated him taking the time to ask so many questions to get to the answer! My surgeon really hasn't given me an estimate of what I should expect to lose, although I plan to ask at my 3-month appointment next week so I can compare.

It's completely normal to have concerns before starting a pre-op program. Firstly, congratulations on taking steps to improve your health! Quitting vaping is a significant achievement, and worrying about weight gain is understandable. Remember, everyone's journey is unique. Personally, for me, it was hard to quit vaping. I quit because I was slowly decreasing the amount of nicotine I was using. The last smoking devices I was using were purchased from this website and were disposable vapes with a low percentage of nicotine because I had a terrible nicotine addiction. So, focus on the positive changes you're making for your health. Trust the process and stay committed to your goals. Consider seeking support from your healthcare team for guidance and reassurance. Remember, you're not alone in this journey. Stay strong and stay focused on your goals. You've got this!

Thank you for understanding as a GERD patient. My doctors never wanted to fully check what pain i was going through all these years and it had me pissed off. I wanted bypass, but yes what you said the dr felt by repairing my hernia it would subside. I feel since i've been on these meds for so long my body and stomach got use to it. Eventually I will get the bypass cause i'm still on meds and I still watch what i eat as a GERD patient.......no grease, hot or spicy foods. I do cardio, running and weight training and mix it up. My belly is the hardest to lose. Once again thank you for understanding me as others really dont understand what we go through its not weight that causes us pain, and we gained weight because we couldnt exercise due to the pain.

you will then it gets annoying lol after reading the rest of the comments, maybe getting into a routine. I measure and weigh everything. I track everything. I don't really pay attention to fat and carbs, but usually with eating a lot of protein I am able to keep fat under 25-30g and carbs under 60g. movement is super duper important too! I workout min an hour everyday. I know that seems daunting but I started with walking 25min during my lunch break and I built up then about 2-3months ago I started to incorporate weights. I don't drink alcohol (mainly because I have alcoholic tendencies and I did try to have a drink a month ago and it ended up being a 3day binge of a lot so I know I cant) I don't drink carbonation just water, Gatorade zero, coffee, ect.... I know it sucks because we want to be able to eat whatever we want but the reality is that our bodies don't let us and we gain. It is something that we will struggle with the rest of our lives, BUT we choose our hard. to be overweight and hurt? or sacrifice all the treats or just indulge a little bit. I still eat ice cream off my husbands bowl, or have a sip of his soda. I dont restrict myself crazily. You got this!!! dont give up!!! were here to help!