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Hi, thanks so much for the reply. My clothes are what scared me, they are not looser at all. That was my first freak out, then the acne and then the weight gain.

Re the weight gain, you've added some healthy muscle. Congratulations. Chances are, your clothes are not any tighter and maybe even a little looser? Re the acne -- any chance you started taking B12 recently? That can suddenly create acne problems for some people. (Google it.) Re the hair -- so many possible reasons, including thyroid (which you've already been tested for). Iron deficiency is another possibility.

It is very common to be denied because of weight gain as a pre op. They're wanting you to lose weight for two reasons usually. One is to gauge whether you are willing and able to make lifestyle changes regarding diet and exercise. The other is to shrink your liver, as it has to be moved out of the way during surgery. You have reason for concern.

Sounds horrible! Time for the gastroenterologist.... I don't know if its the same thing, but I had migrating pains under my ribs on both sides for around a year... much better now, not sure why.... haha maybe weight gain helped!? Anyway, my doc said it was probably strictures from the surgery... in the right place and position dependent... when I sit and slouch at the computer for hours.... it would really show up.

I had visit 3/6 yesterday with Ivan. My weight is back down. Initially I was 225.8 and yesterday I was 226.2 so not a big deal. Ivan said I was doing great and he was proud of me....ummm not really sure what he means, but apparently I just need to maintain my weight and he's not expecting a loss prior to surgery. My last appointment is February 17 and I asked about scheduling appointments for pre/post-op diet information with the nutritionist and a meeting required with Ivan/surgeon prior to surgery and was told that once Diana submits for precert and approval received they will schedule the apointments. I told Ivan I didn't want this to stretch into late March/April because there wouldn't be any appoinments available and he assured me that things move quickly once insurance approval had been received. He halso said there isn't a wait to get into any of the classes and that they are group classes. So now to make it through the holidays with no weight gain. Perk & chicken how are you feeling? I did ask Ivan about the size of the pouch they do and he said a 30, do you guys know what size your pouch is? Tssiemer, how'd you do overnight? Molly do you have heart issues? Did they send you to a cardiologist? I didn't have any pulmonary or heart appointments and just curious why you had to do them? It seems like the request for each of us is so different even though we are going to the same doctor.

I have some good news for you. After a month of blended food, a piece of baked fish will taste like a bone-in rib eye! I am 5 weeks out and just got okayed for some solid food. I bought a container of Lloyds pulled chicken BBQ and it tastes heavenly. I know it's nothing compared to the real thing, but it's still Great. I am also looking forward to some wine in the not too distant future. When I do, my plan is to eat before I drink and go slow with Water on the side. I think the key to wine (or any alcohol) is: 1. Pick your poison wisely. Red Wine is probably the best choice. I lost a lot of weight on Sugar Busters and red wine was the only permitted alcohol. 2. Count the calories in booze. An ounce of distilled alcohol is around 60 calories - the same as one of those Jello SF puddings. Find a very low cal mixer (or water) to mix with and then count your drinks and calories. 3. My #1 source of extra calories pre-opt was the food I would eat while drinking. I think I started drinking thinking I wouldn't eat so my brain was already compromised before I set foot in the kitchen. During my pre pre/opt diet I discovered Jolly Time 100 calorie pop corn. I plan to have that and a couple of other safe Snacks planned before I start imbibing. One last thing, there appears to be no consensus on when to start drinking. Talking to doctors, there seem to be two issue that we have to watch out for. From a medical perspective, it boils down to ulcer avoidance. Booze, coffee, tomatoes, citrus, all can overload your sleeves ability to resist ulcers. My plan is to avoid all of these when I do have some wine. The other is weight gain. But I think my plan (listed above) will help me avoid it. Good luck...

Having weight gain during pregnancy is desirable. Back in the 1970's when we had our children, we went the natural childbirth route. Generally a weight gain of 35 pounds at full term was a minimum to reduce the probability of having a child with a physical birth defect or mental retardation. My wife was small. She weighted less than 100 pounds when she got pregnant and gained 52.5 pounds at full term. She lost all the weight after pregnancy. The weight gain should be on healthy foods such as Protein and fruits, not potato chips and candy bars. Otherwise it can lead to blood toxemia in the latter stages of pregnancy. But having gone through gastric bypass surgery, I think you know the difference. Our children turned out great. Good luck on your pregnancy and birth. Enjoy the little ones.

I should not blame anyone or anything for my weight gain besides myself for becoming lazy and not caring about anything. I ate out three times a day. Snacked mindlessly when bored. Living just minutes away from Napa and Sonoma wine countries I kinda considered myself a foodie and Sunday's was for a nice wine country drive with my buddy for some epicurean adventure. The weight crept on gradually. Luckily, I decided to take charge of my health and not let my taste buds dictate my life before I got any health issues. I want to travel to foreign lands. And sitting in a plane is not fun when you are big.

I had the sleeve in December of 2012 and lost over 100 pounds! Well over my goal weight. And that was before they revised me to the bypass for GERD reasons. I am still losing and have been put on TPN for weight gain, malabsorption, and malnutrition.

Does gastric dilatation limit the success of sleeve gastrectomy as a sole operation for morbid obesity? http://www.ncbi.nlm.nih.gov/pubmed/16469218 Research Study http://www.weightlosstriumph.com/does-gastric-dilation-limit-the-success-of-sleeve-gastrectomy.html further discussion of research results Great news! This research indicates that dilataion (stomach streching) does not necessarily lead to weight gain. In fact, most of the research that I've done (scientifically based) parallels the results of this study. The reason I've researched this topic is because my capacity has increased after one year post op and sometimes wonder if my stomach is dilated. I don't think my eating behaviors caused dilatation because I can only remember 3-4 times that I ate to the point of discomfort in the past year. Even if my stomach is dilated, I can still keep the weight off. The surgery did its job by helping me lose over 150 pounds and now I have to put my effort into overdrive during the maintenance phase. For me, this maintenance phase is actually harder than the weight loss phase because it is less structured and I really have to watch my portions because my stomach can hold so much more than before. The article recommends revision surgery through bypass or duodenal switch if the stomach becomes dilated. However, according to Dr. Weiner (well known bariatric surgeon, search on youtube for his videos), most patients that undergo this revision only lose an average of 15-25 pounds afterward. He often notices (during the revision surgery) that many patients DO NOT even have a dilated stomach. FYI: Dilation (stretching) does happen, but mostly to larger sleeves. You are going to have many people tell you that it just can't happen, they are wrong. This seems to have a great deal to do with how much of the fundus is cut out. The remaining fundus can stretch up to four times it's original size. Research shows that about 50% of the ghrelin is still produced in our bodies. I can also attest to the fact that my hunger and cravings are about at 40% compared to before surgery. I've read that most sleeves hold about 2 ounces after surgery but will eventually hold 4-6 ounces. This means that it is normal for the sleeve to enlarge 2-3 times its original size over time, despite not overeating. Really, what counts is NOT the size of our stomach, but what we put in it. I've seen patients regain weight no matter what their sleeve size. It's interesting to note that I've lost much more weight than those that boast at meetings that they are full after a few tablespoons. Even if your capacity has increased, the key is to stay positive! You can and will be successful! Further info: http://myaceinhand.blogspot.com/2012/01/bougie-size.html

Howdy, man. Welcome to the site and that's great news on your plans. I can only speak from my own experience. The whole sleeve surgery and recovery was very, very smooth and straightforward. I've followed all my plans instructions and have be free of issues. The weight loss I experienced during the pre-op diet and pos-op (same diet) has been very consistent and I feel much better already. My knees and back are thanking me. This site's app is okay.....but for the full effect, try logging in on a PC or Mac and view the full site. You can see more and log in your own stats and view other's. It sure is helpful to me to see stats from folks that are a year, two years....and more post-op. Hearing from them what their successful and failing methods is powerful stuff that can help you shape your own strategy. Again, my experience was that pre-op diet was the most difficulty part. It was difficult because it was vastly different than what I'd done before. Difficult because it came at a time leading up to the surgery.....which I was beyond ready to get through........difficulty because I wanted to be past all that. It passed quickly. Staying busy will help. You are truly blessed to have a strong support system in place. That is an asset. A tremendous asset. Good for you. Get rolling along and know with absolute certainty that 11-17 is going to get here fast. You'll be well on your way and losing weight well before Thanksgiving and by Christmas.....wow, man, by Christmas you'll be looking & feeling like a younger version of yourself. It's guaranteed. Just follow your plan and enjoy the results. I laugh inside now when I hear folks I know talking about having to be careful that their holiday weight gains have started. They are already fretting over gaining weight from Halloween.....and dreading what's ahead the next two months.....already talking about how they need to lose weight....next year....beginning on New Year's Day...... You'll will be striding into New Years with an new lean body. What a great way to start the year.

From all I've read pop and alcohol stretch your pouch. Greatest cause of weight gain in some. Just a thought to keep! Be well!!

Since being sleeved on the 21st of October, I've been weighing myself daily. In the last 3 days I haven't lost and in fact I think I went up a pound or two. Is this normal? I'm feeling a little discouraged. I can now have mushy foods and creamy soups and I have been. Did I move too fast to the next stage of food?

@@AimsLu All I can do is share my experience with you as I am not a doctor or claim to be any kind of expert. I was diagnosed with Type II diabetes in 1999. Freaked out, was put on meds, lost weight, gained weight, different meds, lost weight, gained weight ... well you get the idea. I had a full time career, husband, 3 children, aging parents to take care of, etc. No time to take care of myself. I white knuckled my way through losing 85 lbs. in 2008 (252 lbs. down to 167 lbs.) with a restrictive low calorie diet and working out 6 days a week. Everything went into remission and I was off all my meds. It's all I did and then life threw me a few curve balls and poof my weigh began to rise again. Now it's 2013 and I'm back up to 235 lbs. Feeling embarrassed, depressed and in complete denial, I hadn't been to a doctor so needless to say I'd never gone back on my meds. November 27, 2013, the day before Thanksgiving, I woke up in the thralls of a stroke at the ripe old age of 52! When I was admitted to the ER, my A1C was 11.2 and my BP was 195/120! I was in Mayo hospital for 6 days, rehab for 10 and finally on the mend at home. Then January 3, 2014, I end up back in Mayo's ER where I was diagnosed with Thalamic Pain Syndrome. A rare, debilitating nerve condition 3-5% of the people who suffer a stroke in the Thalamus of their brain end up with. Now my whole right side is affected and while it won't kill me, I will die with it because there is no cure. The road back to having a life has been a long hard one but after going through an intense Pain Rehab Program at Mayo in the Summer of 2014, I knew I could manage this horrific pain I live in 24/7. I only give you this background because it's what uncontrolled diabetes and high blood pressure did to my life. My primary care doctor referred me to Mayo's Bariatric department in October of 2014 and I began this WLS journey. I went in wanting the sleeve and when asked why, I didn't really have an answer. I was told Mayo no longer performs the band surgery because, after much research, they've found that merely restricting food intake didn't work long term. While they still perform the sleeve, since it's only been around for about 10 years, they worry it will end up with the same results. Then they explained that RNY had been around for 50+ years and it was my best bet at sending my diabetes into remission and getting off all my meds, with the exception of my nerve meds. They also explained the yo-yo diet syndrome. You see when you restrict your calorie intake and lose weight, your body goes into it's "fight or flight mode". It constantly fights to get back to whatever your highest weight was. For me that was 285 lbs. By having WLS it resets your body. In other words, you get a "do-over"! Now once you're body finds it's comfort zone (12-24 months post-op) that's it. You need to maintain your new weight within 5 lbs, either way. If you let it get out of control again, you'll be back on that yo-yo roller coaster ride! This really excited me. To know that I could have a second chance to get this right, I was all in! Having RNY was hands down the BEST decision I've made for myself. I had surgery at 8 am on a Tuesday and by 6 pm the next day I was home. Took 2 pain pills on Thursday, one on Friday as a precaution and by Saturday I felt wonderful. I've had no complications and was med-free with the exception of my nerve meds and 1/4 of the cholesterol pill I once took (only because I'm a stroke victim) from the date of my surgery. I can't exercise like a lot of people, due to my nerve condition but I walk as much as I can. I'm 54 years young now and sure I have loose skin and a few more wrinkles (I always say "fat don't crack") but I'm healthier and happier than I've been in years. I'm only 6 months post-op so I'm still on this fabulous journey!!! I wish you the best on whatever decision you make for yourself The 1st set of pics is me at 285 lbs. & 172 lbs. and the 2nd set is me at 257 lbs. and 173 lbs.

I remember my weight loss at my 2wk follow up & and my 6 week f/u. After that it gets fuzzy. I only really keep track of my current weight. I know as a newbie it's exciting to step on the scale post op. You've been looking forward to this for a long time. Finally you'll get rid of this weight. Many have in their minds this big number . Truth is some do get that big number, but others get a small number or no loss at all. Still some even show a weight gain from being swollen, IV fluids and the like. In the end it doesn't matter. What matters is you relearn how to eat and live a healthier lifestyle.

There's no good answer here. Some people even show a weight gain.

The standard Protein recommendation is 60-80 grams of high quality protein daily. I don't know your individual circumstances so I can't say what's wisest for you. You absolutely CAN have too much protein however. Check in with your bariatric team or dietitian and see if they can make a personalized recommendation. All things being normal, anything over 90 grams per day for a healthy female would make me ask some questions. Good luck! Elizabeth, thanks for your response (just saw it now). What would cause your concern about more than 90 grams of protein/day for "a healthy women"? Is it that more protein than that would stress one's kidneys? BTW, yes, I am a healthy, active female (nearly 70 years old). The reason I asked about the protein is that there's considerable interest on the part of WLS patients in maintenance wanting to avoid eating highly processed, sugar-laden carbs. And given our stomachs' smaller sizes, there's a bit of a limit on how many cruciferous vegetables we can eat per day. We've learned to eat high protein during weight loss -- and been highly rewarded for doing so: meats of all kinds, dairy products, Beans, and protein supplements. There's also some alleged evidence and plenty of talk "out there" that eating more than 150 carbs a day will put us in weight gaining mode. So for active, healthy women in maintenance who are eating 1500 - 2000 calories a day (that's me) should I focus on adding more fats? I realize I've expanded my question a bit, but would appreciate hearing your thoughts on all of this if you are able. Thanks in advance.

@@MichiganChic Thanks, Do you have anything else you can share in terms of what the bad habits were that caused the weight gain? Also, what did you do to get rid of those pounds and why do you think it took so long? Thanks!

Happy Halloween from BariatricPal!#subject#> body,div,dl,dt,dd,ul,ol,li,h1,h2,h3,h4,h5,h6,pre,form,fieldset,input,textarea,p,blockquote,th,td { margin:0; padding:0; } table { border-collapse:collapse; border-spacing:0; } fieldset,img { border:0; } address,caption,cite,code,dfn,th,var { font-style:normal; font-weight:normal; } caption,th { text-align:left; } h1,h2,h3,h4,h5,h6 { font-size:100%; font-weight:normal; } q:before,q:after { content:''; } abbr,acronym { border:0; } address{ display: inline; } html, body { background-color: #d8dde8; color: #5a5a5a; } body { font: normal 13px helvetica, arial, sans-serif; position: relative; } h3, strong { font-weight: bold; } em { font-style: italic; } img, .input_check, .input_radio { vertical-align: middle; } legend { display: none; } table { width: 100%; } td { padding: 3px; } a { color: #225985; text-decoration: none; } a:hover { color: #328586; } div.outer { margin: 0 auto; padding: 14px; } table.wrap { max-width: 800px; margin: 0 auto; } td.logo { background-color: #0f3854; padding: 8px; } td.content { background-color: #fff; font-size: 14px !important; color: black !important; line-height: 150% !important; padding: 8px; } ul { margin-left: 25px; } Hey BariatricPal Members! Happy Halloween! It’s a fun time and the beginning of the holiday season. We’re celebrating a lot here at BariatricPal, and we’re super excited to share it with you! Here’s what’s in this newsletter. The BariatricPal Store: Grand Opening! Your Ready for the Holidays? Thanks for your support and for making it possible for BariatricPal continue to grow. There’s no way we could do it without you. Sincerely, Alex Brecher Founder, BariatricPal Grand Opening of The BariatricPal Store! We are so excited to announce the grand opening of The BariatricPal Store! We know, The BariatricPal Store doesn’t fit into a Halloween newsletter because it’s anything but spooky, but we just can’t stop talking about it! That’s why we’re offering 10% off all orders with coupon code SPOOKY10 just for you! Your Source for Bariatric Protein, Meals, Snacks, and supplements Weight loss surgery changes everything, especially your diet. You need to get enough protein without too many calories; eat a nutritious diet while keeping portions in check; and get your Vitamins and minerals without fail. It can be overwhelming and time-consuming…unless you have help. The BariatricPal Store can give you the help you need. We have the protein supplements, meals, snacks, and vitamins to help you lose weight and get healthy. Protein bars, shakes, and powders. Low-calorie, high-protein snacks, Entrees and breakfasts. Bariatric vitamins and Fiber supplements. Make Weight Loss Shopping Easy We know you need the top products, and they need to be healthy, nutritionist-approved, and convenient. We have all that! We also have: Tons of BariatricPal brand products. Product packages so you can pick up a bundle at once for a discounted price. meal plans for the pre-op and post-op diets, plus maintenance and back-on-track diets, so you can easily pick up the foods you need to stay on track. Sampler packs of different items so you can try different varieties to see which you like best. Other Reasons to Shop The BariatricPal Store We truly believe we’re number one. Here are just a few more reasons why. Subscribe and Save options on every product so you can get automatic re-delivery, 5% discounts, and free shipping on each order. Lowest prices – guaranteed. Free shipping on orders over $69. Save money with sales and discounts plus our Refer-A-Friend program. For help, you can look at the FAQs, give us a call at 855 WLS-BPAL (855 957-725), or use our live chat with a customer service specialist during business hours. Visit store.bariatricpal.com often to see current specials, and check out our blog for updates on promotions and new products. We can’t wait to take this next step in helping you reach your weight loss and health goals! Your Healthy Halloween Plan Halloween is about costumes, haunted houses, and scares. Unfortunately, some of the “scares” are the ones that show up on the scale if you eat too many Halloween treats, or the “scares” that come from feeling sick from too much sugar. You don’t have to experience the bad scares this Halloween, though. The trick? Plan ahead! Here are a few things to think about as Halloween approaches. Trick-Or-Treating Almost everyone is affected by trick-or-treating. If you have kids, you’ll probably find one or several big bags of Halloween candy showing up at your home when they come back from trick-or-treating. Your best defense here is to have a healthy dinner before taking them out. Then, focus on anything other than candy – you might fix your children’s costumes, be the flashlight holder, or designate yourself as the neighborhood crossing guard to keep kids safe. If you don’t have children, you may be the one handing out candy to the neighborhood children, which probably means buying a bunch of candy to give out. If that’s the case, you’re best off choosing candy that you don’t like that much, so you’re less tempted to eat it. Again, have a healthy dinner, and focus on other things besides candy for the evening. You might work on answering the door in a scary way, or taking photos of the cute costumes you see to share with the kids’ parents tomorrow. The Aftermath No matter what happens on your weight loss surgery journey, there’s always tomorrow. After Halloween, “tomorrow” is November 1. Take inventory. See what’s in your home that shouldn’t be there. Get rid of the extra candy. If you must keep some candy in your house because of your kids, make sure it’s not tempting you. You can always ask them to hide it away in their rooms. You can also make a game out of it: have them label each piece so they and you will both know if you “steal” some. Go for a walk. There’s nothing like a walk to clear your head and get you ready to go back to healthy eating patterns. Halloween’s scary, but it shouldn’t be scary because of the weight gain. It should be scary because of the fun things you get to do. With a little planning, that’s exactly how your Halloween can be. Healthy Halloween Tips Did you know there are tons of fun things you can do to get into the Halloween spirit without touching a piece of candy? Here are a few ideas! Go for a Walk It’s true…walking is really quite a good answer to most questions. How to burn off a few extra calories before Halloween? Go for a walk. How to enjoy the Halloween decorations in your neighborhood? Go for a walk. How to let your kids show off their Halloween costumes to all the neighbors? Go for a walk. Get the point? Get moving! Volunteer That’s right. You may think that volunteering is just asking for trouble, since you may be faced with a lot of candy. In truth, it’s a chance to be surrounded by the Halloween spirit while being so busy you don’t have time to grab a treat. Volunteering at a local school, homeless shelter, or retirement home can be the perfect way to immerse yourself in Halloween. Help decorate for a party, serve treats, clean up afterwards, or help make costumes. You’ll be appreciated, and you’ll get to be a part of the holiday in a way that’s healthy for your body and soul. Make Healthy Treats It’s true…treats make Halloween so much better. But you can do better than chocolate, candy corn, and decorated Cookies and cupcakes. Here are a few ideas. Greek yogurt popsicles: Use a little sweetener and keep them white for ghosts, or add some pumpkin and cinnamon and shape them into pumpkin shapes. Then you can decorate them like jack-o-lanterns! Jack-o-lantern orange protein cups: hollow out oranges to leave the peel mostly intact. You can “carve” a face in the peel shell to make it look like a jack-o-lantern, and fill it with cottage cheese or fruit. Greek yogurt “eyes:” freeze circular spoonfuls of Greek yogurt with blueberries for eyes. A happy, safe, and healthy Halloween however you choose to Celebrate it. Don’t forget to come talk about yours on the boards at BariatricPal! See you there!

I didn't weigh myself after my sleeve surgery because I was stuck in the hospital for days, but after all three of my plastics procedures during which time they used about the same amount of fluids, if not less, I gained a solid 10 pounds immediately after surgery and it took about 3-4 days to get back to my normal weight. Weight gain after surgery is normal and you shouldn't retain the extra Fluid for longer than a few days.

We love sharing good news. This morning Staten Island Live did a feature story on NYC Marathoner and LAP-BAND Patient, Michelle Stiglitz. Click here to view the article. Michelle has lost 130 lbs. since her LAP-BAND procedure and states, “My weight loss journey has truly changed my life and I am so proud to now call myself a runner. Soon to be a marathoner!” Like so many WLS patients, Michelle is paying it forward by running with the Leukemia and Lymphoma's Team in Training. She has also become a personal trainer and fitness instructor "in hopes to help others live a more healthy life." Her story has appeared countless times over the past year in major news outlets like these below: http://abc7ny.com/553678/ http://www.dailymail.co.uk/femail/article-3015117/Woman-gained-120lbs-hormonal-disorder-drops-HALF-body-weight-completes-two-half-marathons.html http://www.womansday.com/health-fitness/a50113/the-extreme-thing-i-never-thought-id-do-after-i-gained-back-120-pounds/ http://www.cosmopolitan.com/health-fitness/news/a37670/how-this-woman-lost-135-pounds/ http://www.glamourpage.com/youll-never-guess-how-this-woman-lost-135-pounds/ http://www.goodhousekeeping.com/health/diet-nutrition/a31849/extreme-weight-gain/?src=spr_FBPAGE&spr_id=1443_161265505 Please join us in congratulating her on her accomplishments!

@@VSGAnn2014 Awesome points and YES, drinking your calories is one of the biggest indicators of weight gain. That's how my husband gained 30 after quitting smoking. Too many Starbucks coffee drinks, beer and soda. (He subsequently lost the 30 he'd put on) This was one of the first things his surgeon told him about WLS patients who gain their weight. DON'T DRINK YOUR CALORIES. He explained it as the one of the mortal sins for WLS patients.

Hello my name is Joy I been going through this process since April I went to the 3 month program and was denied because I needed doctor notes. One month later my Nut said lets do the 3 months over so I did... summited the new documentation yesterday. My only concern is I weight more in this 3 month program then the last 3 month program but no weight gain with in the 3 month program... Does anyone have advice on this. The 2 separate programs should not be compared into one?

Warning, i'm preop, so take this as it comes I feel ya. There is a part of all of us, I'm sure, who resent that we have to monitor every little stinkin' bite we take or pay the price in a weight gain. And there have been times when I've franklin fallen off my plan out of sheer rebellion at the relentlessness of it. I've spent the past year simply trying to be more aware of what I'm eating and why, quite deliberately trying to get the oughts and shoulds out of my thinking. And the real truth is, being overweight is just a pain in the posterior. It's inconvenient. it's uncomfortable, it's expensive - and that's without taking into account that it's gotten harder and harder to keep my blood pressure under control and now my blood sugar is creeping up, too. I've decided it's worth the relentlessness to get my health and energy back. I want to retire in the next couple-three years, and dangit, I want to enjoy it. I want to be able to travel and hike around Europe and simply bend over to tie my shoes comfortably and not wince at photos of myself. If I have to buy new clothes, I want it to be because I've either worn out or fallen out of love with the ones I have, not because I've gotten too big for them. I'm just plain done with that. I don't know that this will help you, but you've come this far, surely it's worth the the effort!

Good questions! How long did I wait? About 3-4 weeks. Wanted to make sure I was getting my full 64 oz of liquids first before any alcohol. For fear of dehydration! Any complications? I'm a big wine drinker and most of the time the acidity gives me major reflux or heart burn. Liquor I haven't noticed a problem. Don't mix with sugary stuff, high sugar can cause some "dumping" effects. Still can't handle carbonation, champagne, or beer, one sip can be painful. Weight gain? None, still loosing and I'm 6 months out. Drink much less than prior to surgery. Sip much slower. Addiction? I can stop whenever. It doesn't go down as fast and easy as it use too.