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3 years out for me and weighed myself this morning.... UGH - 10lbs up. Funny, as soon as I weighed myself, I thought of this forum and this was one of the first posts I saw. I think we lose the weight, get comfortable, and "forget" the WHY and HOW we got here. Something I heard over the holidays: "Wow, I am so proud of you for keeping the weight off" - Me thinking: (as I'm drinking a high calorie cocktail).... I'm pretty much a failure at the moment.... Here's the reality - I lost the weight, got comfortable, quit tracking, eating whatever and whenever I want - Results: 10lbs weight gain. For me, the trick seems to be: Be a slave to the scale, TRACK TRACK TRACK. and get back into this forum. Tracking and weighing seems to be the only way I don't lie to myself (as if my clothes don't tell me...). Get back on the forum and remind myself daily of what I need to do vs. what I want to do. Going to try and get back to the basics: fluids and protein - skip the boredom/stress snacking and nix the alcohol. Thanks for these posts and knowing we aren't alone in this journey!

Hi all. New here. Had my surgery on 12/18/23: DS/BPD. Spent a single night in the hospital, with discharge ~1pm the following day. Apparently I'm having a somewhat rare complication, which is severe hiccups. By severe I mean where the diaphragm spasms and holds for 10 seconds, during which you cannot breathe. Fortunately, this hasn't happened more than once per day, and today I got a scrip for a drug called Reglan which should moderate the hiccups until whatever is irritating my diaphragm heals itself. Aside from that, the weight is dropping off rapidly. Lost 11 lbs on the 2 week pre-surgery 1K cal/day diet, and am losing since surgery an average of 2.3 lbs / day, which is mind blowing. Cheers, Bruce

Everyone recovers differently. One friend was back after a week, another was three weeks while I was four. Is it possible to extend your leave if you need, or return part time or with reduced daily hours? Can you work partly at home? Better to have a plan in place your employers are happy with just in case you need it. All the best with your surgery.

Dr Weiner resources are great as are Dr John Pilcher’s. Bounce back regain is always a possibility in the second & third year. I believe the average is about 10lb/5kgs so that could be a possibility. This regain can be from not being as vigilant, how you were eating wasn’t sustainable (too restrictive) & didn’t allow you to live & enjoy your life as you want, a change in medication, & your body & new weight set point resettling. And yes, muscle weighs more than fat so some of the regain could be from that too. (Maybe have a dexa scan to compared your fat & muscle mass.) Start by making one or two changes to your eating & then in a week or two make another change or two. You can start small. Maybe track your food to begin. Then up your protein & fluids if you’re not meeting your goals. Adjust your portions if they have become larger. Then drop some of your sugar or carbs or swap the highly processed refined carbs for low processed multi or whole grain options. Etc. Small changes are often easier to adopt & adapt to than large all encompassing changes. Doesn't matter how long it takes you to get fully back on track.

That is so ridiculous that the south is targeted as eat poorly… all of America is obese.. America should really think twice of all the fast food places on every street corner.. I haven’t touched a fast food joint since my surgery 3 yrs ago but I’m amazed of how many there are

Thanks fornthe heads up. I have plans to cooked broccoli cheese soup next week. I will let you know if it was a no go for me.

I'm a sleeve to bypass conversion. I had a hernia, that complicated matters. I'm over a decade out from the horror of that sleeve. I'm just over 3 months out with the bypass. The hernia caused issues and the longer healing time was due to it. If I have any pull or ache, its in that area. For 3 months gone, the reflux (was like yours, actually worse, I had carafate to eat anything) is gone. I've had 1 time where some stuff came up like reflux. A mild little one for the 2nd time it happened. That's it. I control how much food goes in. When I dont, I throw up. I've had a bean get stuck (wow was that painful), couple of times I've swallowed 3x instead of 2 for liquids and it was too much. I've thrown up but nothing like before. If I'm really really careful, watch the time and amount of food at one time frame, I'm good. Stay at 2 swallows, I'm good. After the misery of before, this is great! That having been said, I dropped to malnutrition level because of some other medical problems. As of end of last week, I am 8 pounds from being overweight for my BMI. 36 pounds from being normal weight. So I don't think I'll be dropping it like I did my sleeve. I dropped 27 pounds the first month, and that was 27% of the excess body weight.

only about 30% of bypass patients dump, and it can be prevented by not eating a ton of sugar or fat at one sitting. I've never dumped and I know lots of other bypass patients who've never dumped, either. I had some food intolerances the first few months but now the only thing my stomach doesn't seem to handle well is a really fatty meal. Something like a fish fry with fried fish, tartar sauce, French fries, a roll with butter, and coleslaw (as is a popular Friday night meal here in Wisconsin) would not sit well with me and might even send me into the bathroom. I could handle one or two of those things, but not all (like I could pre-surgery). I also can't eat tons of pasta or rice since it sits in my stomach like a brick, but I can eat SOME of it. I had some vomiting episodes the first couple of months after surgery if I ate too much or too fast or something that didn't agree with me, but since then, I don't think I vomit much more often than I did pre-surgery. Diarrhea isn't that common with bypass - and the adult diaper thing would be really rare - I almost never hear of that, and I've been on this site for about nine years. The opposite, constipation, is really common, though. A lot of us have to take daily Miralax or stool softeners to keep on top of it. yes I suppose constant vomiting could rot your teeth, but I'm not sure where you got that idea that bypass patients experience daily vomiting. I probably vomit 2 or 3 times a year. Plus vomiting now is much easier than it was pre-surgery. Your stomach is really small, so not much comes up. And besides that, you don't have nearly as much acid in your stomach (you can tell because what comes up tastes just like it did going down - you don't get that awful "vomit-y" taste any more after you vomit). Also, GERD is what can lead to Barrett's esphagus an/or esophagus cancer, and bypass usually improves if not outright cures GERD. That's why it's usually recommended over VSG for patients who have GERD. I should add that I'm not a revision patient, but I know of a lot of people who are from this site and similar sites. Most of them are very happy with their bypasses and aren't experiencing the complications that you're worried about (in fact, most don't have any complications at all). I hope you don't take this wrong, but you might want to do more research on the bypass because I think your views on it aren't that realistic. I wouldn't go so far as to say that no one has every experienced any of that stuff because I don't know for sure - maybe someone or a few people have - but we just don't hear about those things on here. If they happen, they're very rare, otherwise we'd hear about them given all the thousands of people who've been on this site over the years.

Hello - I had gastric sleeve in June of 2015 and lost over half my body weight initially, getting down to well below my initial goal in the first year. Started having issues with acid reflux pretty early on, and it's gotten steadily worse, especially in the past 3 years. I'm currently on omeprazole and famotidine, plus Tums in addition. A 24-hour PH study showed that I had over 100 episodes of reflux in that period. So I was approved to revise to a gastric bypass. I also have regained over half of what I lost, mostly since my reflux has gotten worse, and am about 50 pounds heavier than my ideal weight. The reflux makes me feel hungry all the time, and I'm eating way more carbs than I should because they seem to tame the acid somewhat. I understand that it's pretty much a pipe dream that I'll be able to lose anything close to that with revision, but I guess any weight loss would be better than where I am right now. My new surgeon said she expected that I'd get back down to 110-120 after revision (my preferred weight personally is around 125), but based on all the posts I've read here and on reddit, she is definitely exaggerating to make me more willing to go through with the surgery. The best it sounds like I could hope for is to lose maybe 15-20 pounds over the course of a year or more? I am scheduled for surgery on Jan. 18th, but I'm having second thoughts after reading so many horror stories of unpredictable dumping episodes and ever-changing food intolerances. I guess maybe my reflux isn't as bad as others, since the reality of daily life with RNY seems unbearably miserable to me in comparison to my life currently. I'm afraid that I won't be able to do my job anymore (or even leave the house at all) if I am unable to eat or drink anything without the risk of vomiting/foamies (I have pelvic floor issues, so I pretty much always lose bladder control when I vomit or dry heave) or having uncontrollable diarrhea. After revision, do you have to wear an adult diaper all the time? Has anyone developed an eating disorder based on fear of getting sick after consuming anything? Do you have any "safe" foods, or is it always a (literal) crapshoot? I know that continued GERD can cause esophageal cancer down the line, but wouldn't the same be true of daily vomiting? Has anyone who is several years out from revision developed cancer or precancerous damage to their esophagus due to the constant vomiting? Likewise, have your teeth been ruined from it? For those who revised from VSG to RNY and are past the initial healing stages, would you do it again or has it made your life even worse?

I highly recommend looking at the videos on the Pound of Cure channel on You Tube, which go into detail about how to eat to lower your body's metabolic setpoint. Foods that are ultra-processed and high carb push your body's setpoint, the weight it wants to maintain, higher, where nutrient dense foods like leafy green vegetables, beans, nuts, and seeds, make your body want to maintain a lower weight. As I have been preparing for surgery, I found the Pound of Cure book on Amazon and implemented many of the basic changes it recommends, such as cutting out processed foods, breads, sugar, and artificial sweeteners, and eating more vegetables, fruits, and beans. I lost 15 pounds in around 3 months without counting calories or ever feeling hungry. And I can also say that in the past several weeks, as the holiday treats have infiltrated my house, I have not been as good about eating that way, and to no one's surprise, my weight has shifted upward. I will be returning to better nutrition as soon as the last of the ham, sweet potatoes, and pie from Christmas dinner is out of the house! I recommend starting with these videos that I've linked below (and then, if you're like me, binge watching the rest of Dr. Weiner's channel). I find his advice to be a common sense approach to nutrition that you should be able to implement long-term without a lot of pain. Hope this helps!

The reason for erratic weigh-ins (and the infamous three-week stall) is that in the early stages of running a sustained calorie deficit, your body does not burn much fat. Your body worked hard to store fat and considers it a precious commodity that it does not want to part with for no reason. For extra energy to make up for a lack of calories in the short term, your body first burns glycogen. 1 gram of glycogen is bound with 3 grams of water, so as you burn it for fuel, you also flush out this water weight. Only when the glycogen reserve is used up does your body turn to burning fat. The first few weeks after surgery, you were probably lucky to get in 600 calories per day. Your body was burning glycogen like crazy. When the numbers first dropped on the scale, that was almost entirely water weight. Now that you're a couple weeks out, you're allowed to have some pureed food, and you can probably get closer to your protein goals with your shakes. With a few extra calories coming in (still nowhere close to what you need every day to power your bodily functions), your body is at least reassured you are not in imminent danger of starvation. It's taking a look at your empty glycogen reserves with horror and doing its best to fill them back up with the calories you are giving it, like a squirrel storing up acorns for winter. For every gram of glycogen your body puts into the storage cupboard, you've got 3 grams of water tagging along for the ride. Meanwhile, you can rest assured that your body is also burning fat to keep your engines running. However, when you step on the scale, it can't really tell you that you've burned 4 pounds of fat and also stored 7 pounds of glycogen and water. It's just going to tell you that you've gained 3 pounds. But you've done nothing wrong. This is your body doing what evolution programmed it to do since humans lived in caves and constantly had to battle short-term food shortages. Once you've restocked that glycogen, you'll start being able to see the fat loss on the scale again, and in your measurements. As long as you keep doing what you're supposed to do, your weight will move in the right direction. But not as a straight line. Weight loss looks a lot more like a staircase with drops and plateaus, and a lot of small fluctuations that have nothing to do with fat. Try not to let it drive you crazy!

I've yet to get a surgery date. But, I was told I will be on a 2 week liquid diet pre op, to shrink the liver so it's safer to work around. Every Surgeon has their own thing. I've heard a wide range from 2 days to 2 weeks. I don't think they would be mad if you started a couple days early. Going off of what I was being told from the bariatric center I'm going to, the longer the better. As I said, every surgeon has their own plan.

Scheduled for surgery 1/10/24. I was told my Dr’s office that I will only need to be on a liquid diet for 24 hours before surgery. I’ve always heard that it’s a week or 10 days. Wondering if anyone has ever heard this?

Scheduled for surgery 1/10/24. I was told my Dr’s office that I will only need to be on a liquid diet for 24 hours before surgery. I’ve always heard that it’s a week or 10 days. Wondering if anyone has ever heard this?

Scheduled for surgery 1/10/24. I was told my Dr’s office that I will only need to be on a liquid diet for 24 hours before surgery. I’ve always heard that it’s a week or 10 days. Wondering if anyone has ever heard this?

Nope you didn't ruin anything. Your journey will be all ups and downs and it is really best to get used to it. Throw in lots of stalls and you will be worrying like crazy if you don't believe your teams advice. You should be in a calorie deficit. Once you are on real whole foods as against puree your restriction will kick in big time. Then you will be on reduced calories again because you just can not eat much. You could have gained three pounds because of a few reasons. Have you been eating salty foods, Having a really stressful time, Have a full bowel or is it just the time of the month.

if you're following your diet, then it's either hormones, water retention, and/or full intestines. With any of those, your weight will go back down within a couple of days. Those are all very normal fluctuations. If they're playing with your head, just cut back on how often you're weighing yourself - maybe just do it once a week.

**Update** Hey everyone! Sorry for being MIA for a while. I really appreciate all your responses and well wishes. I will be 2 weeks post-op tomorrow, which is kind of nutty to think about. My 9 day post-op follow up appointment went really well. Incisions are healing well, and they seem quite happy with my food diary. I started my bariatric vitamins about 4 days post-op as well and been doing great so far with those. I use Paravita bariatric multivitamin 3x daily and I take Vitamin D3 2500 IU one drop daily. Plus of course the medications needed temporarily prescribed by my surgeon. I got to say though that it's been HARD going through Christmas day and not being able to enjoy our traditional Christmas breakfast, or our amazing turkey feast. Least I got to smell it though lol. I feel a lot more strong, so I have been able to have a lot more normalcy in my life. I make my family their food, while also preparing my clear liquids and full liquids. Unfortunately I'll be on the liquids until January,10th as it is 4 weeks with the gastric sleeve. Then eventually pureed foods, then soft, then finally regular healthy eating for life lol. I am making turkey soup today with our turkey carcass, onions, carrots, celery, and some seasoning, so I can at least enjoy the broth of our Christmas dinner my spouse and out kiddos had yesterday lol. I hope you all are well. I am fighting my brain and always will, and I am still having some regretful thoughts over having this surgery. I am taking one step ahead at a time and trying to look towards the positives. As I've said in other posts I just was so set on Gastric Bypass for my acid reflux issues, and I liked that it could be reversed if needed, plus I hear it has a higher success rate. So when I found out they gave me the sleeve, I just been having mixed thoughts since, and now I can't go back even if I wanted to down the line. So it's been weighing on me a lot. Please know I am not trying to discourage anyone from WLS, and the sleeve can be just as successful, everyone is different. I also thoroughly did my research on WLS prior. Lots of great things about these surgeries. I hope you all are well and that you all had a very Merry Christmas, or Happy Holidays if you celebrate. Much love. ✌

In my first 3 weeks I lost 16lbs too. My BMI was way more than yours and I could eat next to nothing as I had severe swelling on my internal scar. Hang in there, do the plan. This is not a race. Give yourself at least a year to loose the weight. This surgery is more about keeping your restriction going and eating less in the future so you never get obese again. Thats my goal. Log your calories and protein. Stick with what ever your team have said. They know what they are doing.

I hope I’m not doomed!!! I ate more than I should have Christmas Day. Got on the scale and it says 2.6 pounds up. What have I done!! I have been working so hard the last two weeks to get it right!! Surgery is tomorrow and I don’t want to hear it isn’t happening anymore. I mostly over ate on meat. However I did have the carbs (in moderation) I didn’t set myself up better for success and now I am mad at myself.

I was sleeved 10 May, all good here, no issues. I've been lucky enough to lose every week, apart from a 10 day plateau 2 weeks after surgery. I put my success down to tracking daily and hitting my protein goal consistently. I eat really well for the most part too apart from an occasional treat. I eat carbs, I'm learning to accept that carbs aren't the devil. I don't eat bread itself much, but enjoy low carb wraps daily. Also been having a muktigrain muffin every day with peanut butter. It's 20 carbs, not terrible IMHO. I include brown rice, pasta, potato, protein is the focus of course. Of a meal carbs might make up a quarter for example. My carbs average around a hundred a day, give or take. I'm a vegetarian so the bulk of it comes from legumes and vegetables, also fruit which I eat daily.

It will get better. The first 6 weeks are really difficult. It's a lot. Once you settle into normal foods and a bit of a food routine you'll feel a lot better physically, mentally and emotionally. I found that the normal food stage allowed me to rediscover food in an enjoyable way. If pain continues get it checked out though, pain when eating isn't normal.

Hi all I am now 23 days post op and on my 2nd week of puréed foods. I hope Xmas 🎄 has not been too hard on you. I lost my mum back in April, so this is my first year without her and it has been tough. I'm keeping myself busy preparing meals for my husband and it's not really bothered me that I have to purée anything that I am having. What does bother me is that I don't seem to be losing much weight 🤔. My husband and sister say they can see change in me but the scales say otherwise. Since my pre op assessment I have lost a total of 16lb and it just doesn't seem much at all. I don't know if I have an unrealistic expectation of what I should be losing. I think the only thing I maybe doing wrong is not eating enough. I have been lucky ... Although I had bad nausea during my first week post op, I had no sickness nor dumping. I just feel like I am doing something wrong. My dietiy suggested dropping out the homemade smoothies made with fruit which I have done. Is anyone else going through the same issue?

I feel you, three weeks out and I have lost that joie de vivre, nothing taste's good, I have sn awful taste in my mouth, can't stomach purees or protein drinks, when I eat something it's painful, water tastes horrible to me, but then again this is why we lose weight I can honestly say I am not having cravings more of a repulsion, hanging in there since everyone says it gets better.

Ay, cheers to that! Yeah, patiently working towards that feeling of hitting that goal! I’m enjoying the NSVs. For example, being able to wrap a regular ‘ole towel all the way around me. I can definitely relate. Just last month, I hit a stall but it happens. Can you handle any type of carb based food? I ask because trying to talk to the NUT about reintroducing them in my diet.