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I had the sleeve and I started gaining just months after I reached goal. I was too embarrassed to reach out for help and ended up gaining it all back and had no choice but a revision. Good on you for reaching out here. My biggest piece of advice is to reach out to your team and get an appointment. Start logging your food again if you haven’t been and give them an honest picture of what you are eating so they can help you make tweaks. Also if you have a fitness watch, pull it out of the drawer and get a real picture of you current activity level. I thought for sure that my team was going to be so harsh on me and make me feel awful but they couldn’t have possibly been more understanding and all they wanted to do was help. For me the only real option was revision but for you some tweaks in your food and exercise may help, could be hormones so they may want to check that, weight loss medications in tablets or the newer option if the GLP-1 injections may even be an option. The other suggestion of support group meetings is a really good one too. I am doing so much better this time around because I am reaching out for support anywhere I can get it. This time I told more people so I have more people cheering me on and I have the in person support as well as on here and I am going to see the NP more of they than they usually require. I know that I need all the help that I can get. lol.

Just checking you had your surgery in May so you’re 8 months out? Mmmm 800 may be a little low for you given your height and gender though that is a conversation to be had with your dietician with consideration of your needs and activity. I’m a lot shorter than you, female, likely older & wasn’t very active when losing and I was eating about 900 at 6 months and at my goal & I kept losing. Even now I maintain at my weight eating about 1600 calories. Though if you’re not hungry do you need more calories at this time?? I do disagree with your dietician saying if you increase your intake you will gain as you will continue to lose weight eating more calories if you’re still in a deficit (i.e. eating fewer calories than your body needs to function). It may slow down your rate of loss though. Yes, this time of year can be difficult with so much food and so many treats. It really does come down to making the best choices you can when you have little or no control of the food available. Consider portion size. Can you swap out anything? Try to balance your intake across all your meals during the day. Keep focus on your protein first then vegetables. Avoid carbs and limit what sweet treats you may indulge in. And if you’re not hungry you don’t have to eat because everyone else is. If you’re contributing a dish, make something you can eat without compromising your plan. Remember this is not everyday but just this time of the year so don’t beat yourself up if you do go off plan though try to get back to your regular eating style/plan as soon as possible. I’m 5.6 yrs out and I still follow these guidelines in these types of situations. After four Christmas gatherings with full on meals over a couple of days, food to prepare & leftovers to eat, I am glad to be back in my own home, with my own food choices and my own eating routines. I weighed myself this morning and I only put on 300g (0.6lb) over Christmas & being away a week so the guidelines do help to keep things under control. PS What are the shots you mentioned?

Yes! Still here thriving. Hard to believe it’s about to be 6 years, time fly! How has it been going for you? For me, I’ve been maintaining and not gaining so I’m happy! 😊

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

Yep, I'm 9 months post-op and may or may not just be coming out of about a 3-week stall. It's very normal and expected to start slowing down, stalling, and having small weight gains at this point. I hit a low of 170.2 toward the end of October, immediately bounced up a pound, and didn't drop below that low point until 3 days ago. Personally, I find that whenever I hit a new low after a little bit of a stall, especially if it involves a large one-day drop (I went from 170.8 to 169.0 in a day), I'll usually bounce around a little before seeing any steady declines. Most people continue losing weight until at least 12 months, and sometimes a little bit more until 18 or 24 months. But with a lot more stalls, especially the closer you get to a "normal" BMI. (I'm about 14 pounds away from not being considered overweight by the medical charts). The important thing is to develop a healthy eating and exercise routine that is sustainable no matter what the scale says. If you're doing what is reasonable and recommended, keep doing it. There's no need to change what isn't broken. On the other hand, if you know you've been straying from your good habits, focus on getting back to where you know you should be. Eating healthy foods in the correct portions on a regular schedule, moving your body throughout the week, getting the right amount of protein, taking vitamins, and drinking water are all things you will be doing for the rest of your life, even though at some point the scale will stop going down. The advice I am giving myself these days is to try to separate those good things I am doing from the number on the scale. Because for me, if I start seeing weight loss as a "reward" for "being good", it makes it harder to continue the good lifelong habits when that "reward" inevitably goes away. It also won't do you any favors in the long run if you try to introduce a bunch of things you know you will never be able to maintain just to get the scale moving faster. I might be able to drop a few pounds really fast if I went back to 500 calories per day or re-did my 2 week liquid diet, but I can't live like that forever, so it's a false victory. I think we all have to find the right balance of habits we can maintain fairly steadily for a lifetime and a healthy weight we can maintain without torturing ourselves. And remember that just because you hit the 12-month mark doesn't mean the game is over. You can always introduce improvements to your nutrition or your exercise that will result in slow and steady changes over time. You don't have to workout 5 days a week for 2 hours a day if that isn't your thing, but if you add some resistance training a few times per week or an extra walk after dinner, you will see those results down the road.

Hey all. I turn 60 in September and surgery date was 5/23/2022. I was my lowest June 2023 at 123.4. I am currently running about 142. I am mad that I gained back what I have. I don’t want it to keep climbing. I am back to using my app and trying my best to keep track of food water and back to race walking jogging every other day and walking the dogs in the park every other day. I hope to regulate the water and vitamins. The vitamins still cause constipation and that for me is serious. I hate taking dulcolax or pills for this. Anyone else having issues gain back? Or the vitamin issue?

Hello everyone! I am very sorry to those who interacted with the post and didn't get any replies. Unfortunately week 2 of my LSD my doctor called to say the surgery is cancelled due to fact I failed my psych assessment. I lost nearly £2,000 in money that they refused to refund (the cost was for booking my surgery date) due to being caught in a catch 22. Because I failed my psych assessment it is considered MY fault not theres, therefore under the contract I signed prior, no refund. It really made me depressed. I'm back on here losing weight with Mounjaro. I would still like to connect with people whether you're pre surgery, post surgery, losing with the injection or naturally. I am hoping I can lose enough weight so I don't need the surgery, but if I do, that's fine too. Thanks!

My surgery was yesterday October 1st from the sleeve to DS SURGERY Highest weight -270( before gastric sleeve) Surgery weight-237 Goal -150

Just a checkpoint to remind people to take their measurements when the scale isn't moving! Feel free to share ❤️ Starting weight: 281lbs Bust = 53", Waist = 45", Hips = 56", Stomach = 56" 26/08/24 216 lbs Bust = 45", Waist = 36.5", Hips = 49", Stomach = 47.5" Current Weight 196.2 lbs Bust = 43", Waist = 35", Hips = 46", Stomach = 46"

I would suggest you do some more research into which surgery to get. There are pros and cons to each. Many people choose the sleeve over gastric bypass because it has a lower risk of dumping syndrome, vitamin deficiencies, and ulcers. Most doctors want to do what’s best for the patient, so they should be able to explain why they recommend the sleeve for you. Do you know how many calories you are eating? Have you tried measuring and tracking your food? At your height and weight, you are eating approximately 2500 calories per day, and you will need to eat less to lose weight. Either surgery works as a tool to help you eat less, which is how you lose the weight.

I didn’t have band either, but I had the sleeve and gained it all back. My surgeon explained that obesity is very complex and for many people the sleeve is great and it’s less risk so they go with it when they think it is appropriate but it does not offer the same metabolic changes as the bypass or the SADI (which is what I revised to) that some people need in order to be successful. I believe the Lap band offers even less metabolic changes than the sleeve, if any. Basically with these surgeries mostly everyone will lose weight, it’s the keeping it off part that’s difficult. And that’s when you need a surgery with enough of a metabolic change to help you long term. I am 2.5 months out from my revision and I was so worried about the same thing, losing it only to regain again but I can already tell that there is more or a metabolic change. I mean I am exercising!! Me….everyday!! That never would’ve happened without this surgery. Healthy foods taste better and my mood has improved. I have tons of energy and motivation. I never got that with the sleeve. The bypass has been around for a very long time for good reason. For me the sleeve and SADI difference has been night and day. I think you will find a similar experience with your Bypass.

If like me you may have Lived In an obese body for the majority of your life and to finally be of normal weight I know is freeing. Winning!

Make sure you're getting your protein and fluids. I know you're 1 month out, so you can't get your full calories in yet. But don't push yourself too fast. Give your body time to heal, prioritize fluids and protein, and trust the process. You'll get there, but it's a marathon, not a sprint. You didn't gain the weight in a month or 2 and you won't lose it in a month or 2.

This week has been disappointing. I didn't lose any weight despite not doing anything different. I got a dreaded summer cold, so I wasn't motivated to cook. So I ordered Pizza last night.. I'm really disappointed in myself, because there's a million better options. But what's done is done. So I'm back on the diet today. I'm still sick, but I can't use that as an excuse. And at least when I don't lose weight and gain, tomorrow, I'll know why. I've also joined a gym and I've got the induction on Saturday. I used to go to the gym pre-pandemic and just wasn't able (or maybe willing) to get back into the swing of things once they reopened. I do miss the water aerobics class I used to do. The new gym doesn't have a pool and I can't afford a gym with a pool. So up and down

So glad you have such a wonderful and supportive surgeon @ShoppGirl. Sounds like he has your back and wants to help you reach all your goals for your health and your weight loss. Hope you continue to not experience any of the awful side effects of your chemo.

One tactic is to totally reset. Go back to the liquid and soft diet that you used immediately before and after surgery. Kickstart your weight loss and then slowly reintroduce "normal" foods.

I will say that everyone around me told me the same thing. I told them EFF IT! yes I can lose the weight, I have dieted since I was 12, lost 100lbs only to gain it back, lost 60lbs gained it back, and the pattern continued. I also got the "oh you will just gain it back in 5yrs" I FINALLY decided that what I was doing was not working! I needed an extra tool! Ozempic, Wegovy and those meds were not for me and I did not like how I would have to rely on them and they were hard to get plus PRICEY! I am 35 now and I made the decision to do this right before my birthday. I was 297lbs, hard to wake up, couldn't walk without getting winded, couldn't play with my kids, hated myself for my inability to live life and be that wife and mother that my family deserved. I decided to make the appt and did not tell my family (minus my hubby) that I was going into surgery and here I am 6.5 ish months later, down 130lbs, exercising 1hr a day 6days a week, playing with my kids and having energy to spend time with the hubby, my life is SOOOOO much better. My only regret is not doing this sooner!!! Now my best friend is now sleeved and is having tremendous results! My mom (who was my skeptic) is now talking to her doctor about the bypass. This is the not the easy way out, this is a tool to help us live! I think you should what is good for YOU not for everyone else and don't listen to the haters! They aren't living a day in your life. They don't know the pain, the struggles and the worries you have. Best of luck!! ❤️

What about trying a GLP-1 versus surgery? Check out Dr Matthew Weiner’s Pound of Cure website, podcasts & you tube channel. He’s been speaking a lot about recommending sleevers with regain to use GLP-1 meds instead of a revision surgery. You may find it interesting & something to discuss with your surgeon as another option. PS. Out of curiosity what was your original starting point weight, your maintenance weight, and current weight?

once you get that far out, you have to play around with different calorie ranges to figure out about how many calories you need to eat to maintain your weight, and how many to lose. That range really varies for everyone depending on sex, age, activity level, metabolic level, how muscular you are, what weight you'd like to be at, etc (e.g., you can eat more if you're fine with weighing 180 lbs as opposed to 130 lbs). I can maintain my current weight by eating about 1600 calories - although I can eat a bit more if I'm exercising a lot. To lose, I have to go below 1600. And since I'm pretty close to a normal BMI, I'd have to eat quite a bit less than 1600 to lose a somewhat noticeable amount each week (otherwise, I'm losing just a couple of ounces - and it's hard to distinguish that from normal fluctuations). There are some women on here who can eat 2000 calories to maintain, and others who can only eat 1200. It's really sort of trial and error given how far you're out from surgery. Maybe start with a range - like 1300-1500 and do that for a couple of weeks. If your weight isn't budging, drop the range down by 100 calories. Rinse and repeat until you start losing weight again. P.S. if. you're losing inches but gaining weight, it could be that you're putting on muscle. Or if you've recently started doing more and/or heavier lifting, it could be that your muscles are holding on to more water (since they need water to repair themselves). If that's what's going on, once your muscles are used to that level, your weight should start dropping again.

An interesting article about “Fat Memory” https://www.nature.com/articles/d41586-024-03614-9 Key points: •Fat cells have a ‘memory’ of obesity hinting at why it’s hard to keep weight off. •Long-lasting changes to the cells’ epigenome are linked to a decline in their function. •For fat cells, the shift in gene activity seems to render them incapable of their normal function. •Even weight-loss surgery did not budge that pattern. •The research is ongoing as “It’s not yet a causal link, It’s correlation. … We’re working on this.”

Lol it feels wonderful! Thank you! You've made your goal weight and then some, definitely reason to feel proud and to celebrate! Great job!

I am thinking about doing this for my husband after I finish losing weight! I think he will love it!!! 😍

Hey! I'm in the same boat, as far as weight loss. I'm now having trouble trying not to snack at bedtime. I'm also trying not to graze over the holidays. Trying to either not eat or find healthier choices. Sometimes I just want a taste of something. Thoughts?

still out here and hanging in there. gained back about 50 lbs of the 120 I lost after surgery but as of Feb 2024, been refocusing on my habits and so far I've lost about 18 lbs of that 50. overall I'm still happy I had the surgery as I'm healthier and more active then before. my annual follow ups were getting a bit hard to face but am hoping this year's goes better since I'm working back down towards goal weight instead of further from it. I've attached a pic of me pre surgery and a few months post surgery (pink shirt). the separate pic in the bright blue shirt was taken last week during my husband and i's anniversary trip to the mountains.

And you’re already at 2.4mg? Weird. The dose escalation schedule is every 4 weeks beginning at 0.25mg, but either way here’s an interesting article: https://amp.cnn.com/cnn/2024/05/21/health/glp-1-weight-loss-drugs-stop-treatment-real-world-effectiveness