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I am hypothyroid also and had surgery the same date as you. Yes, weight gain/stall is normal from what I've heard. I also got the added pleasure of having Aunt Flo visit on Friday. Plus feeling very bloated and constipated. Needless to say I've not wanted to feel dissapointed so havent weighed yet. My surgeon visit is Tuesday so will weigh in for my one week surgiversary. Keep us posted...we are all here to support each other Sent from my VS990 using the BariatricPal App

Anyone Have the sleeve due to weight gain from ssri or ssri drug? I weigh 275 pound I'm on Prozac and been on all the other in the different classes but have gained 75 pounds in the first year and that was 12 years ago.. as long as I'm on the meds the weight won't budge... If i go off the meds I don't cope with life. anyone here do the sleeve for weight gain due to run induced weight and the drug is one that you need to stay on? and what been you experience?

I am hypothyroid also and had surgery the same date as you. Yes, weight gain/stall is normal from what I've heard. I also got the added pleasure of having Aunt Flo visit on Friday. Plus feeling very bloated and constipated. Needless to say I've not wanted to feel dissapointed so havent weighed yet. My surgeon visit is Tuesday so will weigh in for my one week surgiversary. Keep us posted...we are all here to support each other Sent from my VS990 using the BariatricPal App

I had mine July 26th... I am 5 days post op. No one told me to expect weight gain after iv fluids.i appeared to have gained 5 lbs. Apparently this is common. I am hypthyroid though. I didnt need to be discouraged. I am 5 days out now and scared to weigh in. I will wait another week. Any hypothyroid patients out there having success?

I had my RNY at 47, and have lost 100 lbs, would like to lose another 8 lbs, surgery was 20 mos ago. Except for my stomach, I have virtually no loose skin. That said, I have a fair complexion, have never tanned, didn't get many stretch marks during my one pregnancy or all my weight gain. I have also never smoked as much as on cigarette. All this worked in my favor for not having a lot of lose skin. All the things I mentioned are causes or signs or less elasticity. I do a fair amount of weight training so the muscle tone will help loose skin appear firmer, I think but won't "cure " lose skin. Now I'm not saying I will ever wear a bikini but I feel.100 percent comfortable in sleeveless shirts.

I had the Mirena on for 3 months and in that time I gained 40 lbs and never took it off. I also had terrible cystic acne along my jawline. The Mirena was horrible for me. In fact, up until I had the Mirena placed I had been losing weight at a fairly constant rate. Suffice it to say I had it taken out and the weight gain stopped, the acne cleared up, and I began to normalize. I also happen to be sensitive to estrogen, so that could be part of my issue. Sent from my SM-N910V using the BariatricPal App

Incredibly helpful VSGAnn. Thank you so much. I'm trying to be extremely honest with myself while I move toward this surgery. I'm facing facts - I ignored my own warnings about eating poorly for years, resulting in the need for surgery to remove the offending body part that really didn't do anything wrong at all - it was all my actions that got me here. I can blame myself and self-hate til the cows come home but I still turn my mind to neutral when it comes to driving through McDonald's every morning for my sausage mcmuffin and tea before work! I don't even TRY anymore. It's gotten to that point now. I gave up.... The surgery seems radical, that's being honest. I worry more about afterward than the surgery itself - honesty again. And that's because there is NO turning back. Permanent decision - elective surgery to remove most of my stomach because I have NO control when it comes to the basics of life - eating. But I also have a long history of weight gain - right back to when I was 9 years old and knowing I was putting on weight - and how?? We didn't have fast food places anywhere around then - in fact, when a KFC came to town I distinctly remember holding the bucket on my lap for the drive home and breathing in the delicious smell - but I can't remember a time after that we had it. A&W - my big brother would drive to it and bring home a root beer for us little kids. But really, other than homemade Cookies we didn't get a lot junk in our house. And my parents and 3 siblings are slender and fit, just I had the weight issue. So I'm pretty sure there's a genetic thing going on too. Although I eat bad things at times, I very, very rarely overeat. It's hard not to beat yourself up for doing this to yourself, but I'm sympathetic to myself and all who struggle with their weight. It's not ONLY a self-control issue. I'm trying very hard to focus on what I will feel like 6 months or 1 year after the surgery, once I'm over the worst of the healing process. It's the spectre of regret that is killing me. And now - the spectre of the hormone dump! LOL If you can, speak about regrets - how did it affect you, or were you able to just get through the day unscathed as you moved toward being 'normal' again? You're welcome, @@TracyBar . Re the immediately post-op hormone dump that many women experience -- I had it very easy because I'm quite post-menopausal. I had sleeve surgery at age 68. And after menopause I used hormone replacement only for a year or so before discontinuing them all. Therefore, my body fat wasn't full of a lot of hormones that flooded my system during the early weight loss periods post-op. Yes, I had a few strange days. But honestly, I was so distracted by the other WLS stuff happening to me at that time -- comparatively rapid weight loss, changing body image, getting used to all the new post-op regimens (eating, tracking, exercising, etc.) that we all go through post-op. Hubby and I also had a lot of distracting things going on in our lives which were distracting. I do know that if the post-op hormonal dump happens to you, it won't continue forever. There are a lot of things that happen to us post-op that change considerably over time. As I wrote on another thread this morning, you can be pretty sure that how you feel today is not how you're going to feel in a few weeks, months or years.

Interesting Article from the NYT: Why You Can't Lose Weight On A Diet By Sandra Ammodt SIX years after dropping an average of 129 pounds on the TV program “The Biggest Loser,” a new study reports, the participants were burning about 500 fewer calories a day than other people their age and size. This helps explain why they had regained 70 percent of their lost weight since the show’s finale. The diet industry reacted defensively, arguing that the participants had lost weight too fast or ate the wrong kinds of food — that diets do work, if you pick the right one. But this study is just the latest example of research showing that in the long run dieting is rarely effective, doesn’t reliably improve health and does more harm than good. There is a better way to eat. The root of the problem is not willpower but neuroscience. Metabolic suppression is one of several powerful tools that the brain uses to keep the body within a certain weight range, called the set point. The range, which varies from person to person, is determined by genes and life experience. When dieters’ weight drops below it, they not only burn fewer calories but also produce more hunger-inducing hormones and find eating more rewarding. The brain’s weight-regulation system considers your set point to be the correct weight for you, whether or not your doctor agrees. If someone starts at 120 pounds and drops to 80, her brain rightfully declares a starvation state of emergency, using every method available to get that weight back up to normal. The same thing happens to someone who starts at 300 pounds and diets down to 200, as the “Biggest Loser” participants discovered. This coordinated brain response is a major reason that dieters find weight loss so hard to achieve and maintain. For example, men with severe obesity have only one chance in 1,290 of reaching the normal weight range within a year; severely obese women have one chance in 677. A vast majority of those who beat the odds are likely to end up gaining the weight back over the next five years. In private, even the diet industry agrees that weight loss is rarely sustained. A report for members of the industry stated: “In 2002, 231 million Europeans attempted some form of diet. Of these only 1 percent will achieve permanent weight loss.” The specific “Biggest Loser” diet plan is probably not to blame. A previous study found similar metabolic suppression in people who had lost weight and kept it off for up to six years. Whether weight is lost slowly or quickly has no effect on later regain. Likewise — despite endless debate about the relative value of different approaches — in head-to-head comparisons, diet plans that provide the same calories through different types of food lead to similar weight loss and regain. As a neuroscientist, I’ve read hundreds of studies on the brain’s ability to fight weight loss. I also know about it from experience. For three decades, starting at age 13, I lost and regained the same 10 or 15 pounds almost every year. On my most serious diet, in my late 20s, I got down to 125 pounds, 30 pounds below my normal weight. I wanted (unwisely) to lose more, but I got stuck. After several months of eating fewer than 800 calories a day and spending an hour at the gym every morning, I hadn’t lost another ounce. When I gave up on losing and switched my goal to maintaining that weight, I started gaining instead. I was lucky to end up back at my starting weight instead of above it. After about five years, 41 percent of dieters gain back more weight than they lost. Long-term studies show dieters are more likely than non-dieters to become obese over the next one to 15 years. That’s true in men and women, across ethnic groups, from childhood through middle age. The effect is strongest in those who started in the normal weight range, a group that includes almost half of the female dieters in the United States. Some experts argue that instead of dieting leading to long-term weight gain, the relationship goes in the other direction: People who are genetically prone to gain weight are more likely to diet. To test this idea, in a 2012 study, researchers followed over 4,000 twins aged 16 to 25. Dieters were more likely to gain weight than their non-dieting identical twins, suggesting that dieting does indeed increase weight gain even after accounting for genetic background. The difference in weight gain was even larger between fraternal twins, so dieters may also have a higher genetic tendency to gain. The study found that a single diet increased the odds of becoming overweight by a factor of two in men and three in women. Women who had gone on two or more diets during the study were five times as likely to become overweight. The causal relationship between diets and weight gain can also be tested by studying people with an external motivation to lose weight. Boxers and wrestlers who diet to qualify for their weight classes presumably have no particular genetic predisposition toward obesity. Yet a 2006 study found that elite athletes who competed for Finland in such weight-conscious sports were three times more likely to be obese by age 60 than their peers who competed in other sports. To test this idea rigorously, researchers could randomly assign people to worry about their weight, but that is hard to do. One program took the opposite approach, though, helping teenage girls who were unhappy with their bodies to become less concerned about their weight. In a randomized trial, the eBody Project, an online program to fight eating disorders by reducing girls’ desire to be thin, led to less dieting and also prevented future weight gain. Girls who participated in the program saw their weight remain stable over the next two years, while their peers without the intervention gained a few pounds. WHY would dieting lead to weight gain? First, dieting is stressful. Calorie restriction produces stress hormones, which act on fat cells to increase the amount of abdominal fat. Such fat is associated with medical problems like diabetes and heart disease, regardless of overall weight. Second, weight anxiety and dieting predict later binge eating, as well as weight gain. Girls who labeled themselves as dieters in early adolescence were three times more likely to become overweight over the next four years. Another study found that adolescent girls who dieted frequently were 12 times more likely than non-dieters to binge two years later. My repeated dieting eventually caught up with me, as this research would predict. When I was in graduate school and under a lot of stress, I started binge eating. I would finish a carton of ice cream or a box of saltines with butter, usually at 3 a.m. The urge to keep eating was intense, even after I had made myself sick. Fortunately, when the stress eased, I was able to stop. At the time, I felt terrible about being out of control, but now I know that binge eating is a common mammalian response to starvation. Much of what we understand about weight regulation comes from studies of rodents, whose eating habits resemble ours. Mice and rats enjoy the same wide range of foods that we do. When tasty food is plentiful, individual rodents gain different amounts of weight, and the genes that influence weight in people have similar effects in mice. Under stress, rodents eat more sweet and fatty foods. Like us, both laboratory and wild rodents have become fatter over the past few decades. In the laboratory, rodents learn to binge when deprivation alternates with tasty food — a situation familiar to many dieters. Rats develop binge eating after several weeks consisting of five days of food restriction followed by two days of free access to Oreos. Four days later, a brief stressor leads them to eat almost twice as many Oreos as animals that received the stressor but did not have their diets restricted. A small taste of Oreos can induce deprived animals to binge on regular chow, if nothing else is available. Repeated food deprivation changes dopamine and other neurotransmitters in the brain that govern how animals respond to rewards, which increases their motivation to seek out and eat food. This may explain why the animals binge, especially as these brain changes can last long after the diet is over. In people, dieting also reduces the influence of the brain’s weight-regulation system by teaching us to rely on rules rather than hunger to control eating. People who eat this way become more vulnerable to external cues telling them what to eat. In the modern environment, many of those cues were invented by marketers to make us eat more, like advertising, supersizing and the all-you-can-eat buffet. Studies show that long-term dieters are more likely to eat for emotional reasons or simply because food is available. When dieters who have long ignored their hunger finally exhaust their willpower, they tend to overeat for all these reasons, leading to weight gain. Even people who understand the difficulty of long-term weight loss often turn to dieting because they are worried about health problems associated with obesity like heart disease and diabetes. But our culture’s view of obesity as uniquely deadly is mistaken. Low fitness, smoking, high blood pressure, low income and loneliness are all better predictors of early death than obesity. Exercise is especially important: Data from a 2009 study showed that low fitness is responsible for 16 percent to 17 percent of deaths in the United States, while obesity accounts for only 2 percent to 3 percent, once fitness is factored out. Exercise reduces abdominal fat and improves health, even without weight loss. This suggests that overweight people should focus more on exercising than on calorie restriction. In addition, the evidence that dieting improves people’s health is surprisingly poor. Part of the problem is that no one knows how to get more than a small fraction of people to sustain weight loss for years. The few studies that overcame that hurdle are not encouraging. In a 2013 study of obese and overweight people with diabetes, on average the dieters maintained a 6 percent weight loss for over nine years, but the dieters had a similar number of heart attacks, strokes and deaths from heart disease during that time as the control group. Earlier this year, researchers found that intentional weight loss had no effect on mortality in overweight diabetics followed for 19 years. Diets often do improve cholesterol, blood sugar and other health markers in the short term, but these gains may result from changes in behavior like exercising and eating more vegetables. Obese people who exercise, eat enough vegetables and don’t smoke are no more likely to die young than normal-weight people with the same habits. A 2013 meta-analysis (which combines the results of multiple studies) found that health improvements in dieters have no relationship to the amount of weight they lose. If dieting doesn’t work, what should we do instead? I recommend mindful eating — paying attention to signals of hunger and fullness, without judgment, to relearn how to eat only as much as the brain’s weight-regulation system commands. Relative to chronic dieters, people who eat when they’re hungry and stop when they’re full are less likely to become overweight, maintain more stable weights over time and spend less time thinking about food. Mindful eating also helps people with eating disorders like binge eating learn to eat normally. Depending on the individual’s set point, mindful eating may reduce weight or it may not. Either way, it’s a powerful tool to maintain weight stability, without deprivation. I finally gave up dieting six years ago, and I’m much happier. I redirected the energy I used to spend on dieting to establishing daily habits of exercise and meditation. I also enjoy food more while worrying about it less, now that it no longer comes with a side order of shame. Follow The New York Times Opinion section on Facebook and Twitter, and sign up for the Opinion Today newsletter. Sandra Aamodt, a neuroscientist, is the author of the forthcoming “Why Diets Make Us Fat: The Unintended Consequences of Our Obsession With Weight Loss.”

This case study was for a patient who had a band to sleeve revision. He has the band removed following weight gain and then had sleeve. It also states this case was very rare .

Again I had the same question about the exercise program. What my surgeons office did is when I went to my weight management (behavior modification ) class we had to fill out a sheet each time, Containing what are daily activity is like what we are doing for exercise and how long...we also made a food goal like cutting sweet tea , or reducing carbs.. I wouldn't count you out yet over those 3 lbs what is your current bmi? I ask cause even though I had to not gain weight I did not have much wiggle room to loose either . But if you are able to stay above the required bmi with no issue push as hard as you can to drop 5 before the next visit. and do not gain another lb if possible. I was so obsessed about this part cause i knew this was the one part of the approval process that was totally up to me. Aetna is strict about the weight gain but make sure its documented somewhere that either you are on a certain med that makes you gain , Water weight , cycle time etc.

I noticed on Aetna's policy topic about bariatric surgery that it says "no net weight gain". What exactly does that mean? I am going to a nutritionist and I have been twice. I gained 3 pounds. Not sure if it was water weight or what but it was 3 lbs higher than my first visit. I am concerned because the scale at the surgeon's office had a completely different reading also. Can anyone provide some clarity on this subject?

I have pizza all the time. It's just not pizza from a restaurant. I do a "skillet" version, using a cast Iron skillet, a carb master tortilla, organic/low carb marinara sauce, turkey pepperoni, with pizza cheese and veggies. They are about the size of a personal pan pizza, have a thin crispy crust and are lovely when you finish them up in the oven under a broiler so the cheese gets all bubbly and gets those little bits of brown. I can eat half at a meal and it's under 300 calories and low carb to boot, with some decent Protein. You can have all the things you used to love eventually. Just better (healthy) versions, or in smaller quantities/much less often. And the big thing to realize - you may not even want most of the really bad for you foods once you relearn how to eat healthy foods, and feel and look better overall. food issues that lead to obesity usually aren't just because a person is hungry; overeating or eating crap foods to the point of serious weight gain. Most of us have other reasons to medicate with food - low self esteem, fear, depression, using food as a reward/comfort/distraction. You're focusing on food obsession and fears and worrying over changing something that has been a huge part of your life, but likely has caused you more grief than happiness. No matter what, change is hard and can be scary. But if you are a candidate for WLS, then you either have serious health issues exacerbated by the weight, or high enough weight alone where the doctor feels that this is the best path for you to regain your health and give you a fighting chance to relearn how to eat properly - it will give you the time to regain control so you can start over with your relationship with food. .

Received message with the net weight gain photo but doing more research and found out by talking with dr office today and they said I did not gain , I actually lost weight start 6/2015 240lb to 9/2015 at 239.5 so I'm not sure what is going on. Maybe Bec The dr office submitted my paperwork to insurance comp two weeks after the 6 month deadline to schedule my surgery , I have no idea. Sent from my iPhone using the BariatricPal App

oh wow I found the perfect forum, I am working with lindstrom as well. I hired them jan 2016 to help with my case to overturn my denial, but just last week they denied my appeal but lindstrom is not giving up without a fight they are an awesome team. The reason they are saying my surgery was denied bec of net weight gain 1.5 lbs and my surgery was not scheduled within 6 months of initial date. we questioned them over and over again , " when was I suppose to have scheduled the surgery if you already denied right after the 3 month pre-op requirement" ?. all Aetna could do is read my policy to us 20 times UGHHH! . I was so hurt and disgusted by this I could not believe it and I was going over it in my head about everything asking myself, where could things have went wrong? no way 1.5 lbs gained would be such a big deal bec you cant calculate 1.5 lbs as a major weight gain. So many factors can cause a 1.5 gain. clothes , time of month anything etc....... at this point , I was confused and I started to do a little digging on my own today 7/27/16. so, I called my dr office and asked what were my weigh in's which I should have been monitoring and keeping track of everything from insurance coverage to all my weigh in info. /initial start date 6/2015 240 , 7/2015 245 , 8/2015 242, finial weigh in 9/2015 239.5 .. MY MOUTH DROPPED! ok so where is this 1.5lb weight gain they are talking about, what was the real reason for denial???? so I am thinking the ball dropped with someone or am I missing something here ? has anyone experienced this before?

Incredibly helpful VSGAnn. Thank you so much. I'm trying to be extremely honest with myself while I move toward this surgery. I'm facing facts - I ignored my own warnings about eating poorly for years, resulting in the need for surgery to remove the offending body part that really didn't do anything wrong at all - it was all my actions that got me here. I can blame myself and self-hate til the cows come home but I still turn my mind to neutral when it comes to driving through McDonald's every morning for my sausage mcmuffin and tea before work! I don't even TRY anymore. It's gotten to that point now. I gave up.... The surgery seems radical, that's being honest. I worry more about afterward than the surgery itself - honesty again. And that's because there is NO turning back. Permanent decision - elective surgery to remove most of my stomach because I have NO control when it comes to the basics of life - eating. But I also have a long history of weight gain - right back to when I was 9 years old and knowing I was putting on weight - and how?? We didn't have fast food places anywhere around then - in fact, when a KFC came to town I distinctly remember holding the bucket on my lap for the drive home and breathing in the delicious smell - but I can't remember a time after that we had it. A&W - my big brother would drive to it and bring home a root beer for us little kids. But really, other than homemade Cookies we didn't get a lot junk in our house. And my parents and 3 siblings are slender and fit, just I had the weight issue. So I'm pretty sure there's a genetic thing going on too. Although I eat bad things at times, I very, very rarely overeat. It's hard not to beat yourself up for doing this to yourself, but I'm sympathetic to myself and all who struggle with their weight. It's not ONLY a self-control issue. I'm trying very hard to focus on what I will feel like 6 months or 1 year after the surgery, once I'm over the worst of the healing process. It's the spectre of regret that is killing me. And now - the spectre of the hormone dump! LOL If you can, speak about regrets - how did it affect you, or were you able to just get through the day unscathed as you moved toward being 'normal' again?

The hunger feeling that you are having could be from too much acid.. ask your doctor for a PPI. As for the weight gain, if your band is too tight as your barrium swallow shows, it might be a good idea to get a large unfill, let it rest for 2 weeks then go back for a refill... I found that when my band was playing up an unfill would do the trick... But if you were in the red zone you wouldn't be able to eat much food.. unless you are eating soft slider foods. Because you were banded and lost a significant amount of weight be aware that weight loss is much slower when you get revised for a 2nd surgery... for 14kg i would suggest the unfill and refill technique and try going back to basics. What are you currently eating? How many calories do you consume? Are you exercising? Are you tracking your food?

My first appt , the coordinator did not say anything about a 6 month pre-op. She just said well Aetna requirement is 3 month and she gave me a check off list of the things I need to do and numbers to call to set up my appointments within the 3 month period. I really did not know about the 6 months requirement until I received my benefits coverage summary. But as I reveiew the summary , I think they were following my co morbitities and which criteria I fall under and just told me To do the 3 month pre-op Bec I had all what the ins needed for approval me vs what they needed for the 6 months. So it all depends. But was definitely not told about the net weight gain , I was told that oh just as long as you do not gain 4 to 5 lbs or lose too much weight that would cause your bmi to go below the requirement for surgery you would be fine. They were shocked just as much as I was , and not well informed about the specifics but I should have read the information for myself instead of depending on them to know it all. So please please what ever you do not not gain any weight and get a copy of your coverage and read it throughly before you start spending money then be disappointed but if you stay within guidelines I know you will be approved whether it's 3 or 6 months.

Even though I had a hysterectomy in 2003 they left my ovaries. Every month I still had PMS, seriously. It was not as horrible, that is for sure but it was still there. Menopausal systems can last for years and years and so far, that is definately happening to me. I guess I should be grateful that the mood swing issue only became horrible in the last year but I have had hot flashes, weight gain.....all the fun stuff for the last 6 or so years. Recently the hot flashes became so bad that I started using essential oils to help with them and they really are helping thank goodness.

@@Djmohr @@VSGAnn2014 Thanks for your point of view. I am only two years out. I can see medical issues may be specific to WLS. I have changed from my bariatric team to my family physician and dietician for care. All is normal without them. If I have a complication I would contact my team again. My weight is no longer the topic of conversation with others. The thrill of WLS is gone and its a great place to be. The only thing that reminds me that I'm a wls patient is weight gain. i don't see a difference between me and people that have been at a healthy weight most of their life. I take care of my health and my weight the same as they do.

If you're on a stall, and especially if you have a lot of salt so as to pick up water weight, you can see some minor temporary weight gain.

I’ve been making myself a little crazy and losing sleep worrying, so I’m hoping I can get some of your thoughts on this. I’ve completed my six months of medically supervised weight loss appointments. I’ve had the sleep study, EGD, psych eval and all of that jazz. I called my doctor last week to ask how long it should take to hear back regarding scheduling my surgery, they said that they have to submit everything to my insurance company and then it will take 2 weeks to hear back after that. Okay, that’s all good, but then I did a google search for my insurance company, “McClaren” and “Weight Loss Surgery.” And I found a website for a hospital here in Michigan that does weight loss surgery (not one I’m going through, just a random one that my Google search found), they listed requirements of a bunch of different companies, including mine. For my insurance company it says that they require a “Medically Supervised Diet for 6 Consecutive Months. food & Exercise Journal, Showing a consistent weight loss with no weight gain.” Here’s the thing, the last month of my supervised diet, I gained weight. I’m not sure why. I’d had the flu for a couple of weeks that month. I wasn’t eating much, I really expected to lose but didn’t. So, has anyone ever been denied coverage because they didn’t do well during their MS diet? If so, what happens? Do you have to do it again? The whole six months over again? Is there an appeals process? My insurance coordinator at the doctor’s office isn’t very familiar with my insurance company, in fact she said that this is the first time she’s worked with them. She’d told me that they want to see you “lose a few pounds, here and there.” I’m totally freaked out about this. Could I have totally blown everything in one bad month? What do you think?

Hello I haven't had the surgery yet but since I started my journey 4 months ago I've lost 43 pounds. I'm a 52 yr old male 5 7 hw 297 cw 253 There has been times I've experienced stalls and weight gains Remember a pound of fat is around 3,500 calories so if you haven't consumed that much in a day or so it's Water weight. I hope that was helpful Sent from my SM-N915V using the BariatricPal App

I'm 5 weeks post op and just got on the scale to realize I gained 3 pounds I feel better than ever . I'm eating right and working out and i gained 3 pounds?!?! Has this happened to anyone ? Sent from my iPhone using the BariatricPal App

Hi - Just about 3 years out of surgery. Still best thing I ever did. But, the weight is start I g to creep back on and I know why. Lack of exercise. Feeling a bit of panic and working to my exercise back into my daily schedule. Having a hard time with the little voices in my head being so negative and sabotaging my efforts. Trying not to pay them any mind. But does anyone have any tips, book recommendations etc.. To shut these buggers up? Thanks ! Sent from my LG-H901 using the BariatricPal App

It sounds that, right now, your thinking is as great a problem as the injury, which is bad enough. Listen to your husband; he's smarter than he looks Healing comes first. Then you'll deal with whatever weight gain. You've lost weight before so you know you'll be able to do it again. If knitting is too difficult because it necessarily moves the arm you need to keep still, would crocheting be doable? If you don't know how, you probably know someone who can give you a lesson and company to occupy your mind. Start smoking again? No way. Long ago my late, beloved internist told me that, if losing weight and quitting cigarettes were too difficult to do simultaneously, it was more important to stop smoking first. There are lots of chair exercise videos online and probably available for loan from your public library. If your branch doesn't have any inhouse, they can get them for you on inter-library loan. Search on sparkpeople.com, livestrong.com and simply googling "chair exercise." Search "chair exercise" or "chair exerise dvd [or video] at the library's website. There is a series of videos called Chair Dancing which may be fun. In any case, you'll have more to do and you'll feel as though you're taking better care of yourself. You can modify any of the exercises that jar arm.