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A single pound of fat is roughly 3500kcal. So unless you ate 10,500kcal OVER your baseline intake, there is absolutely no way that is true weight gain. It could be water weight, hormonal changes, bowel movement issues, etc. There are dozens of factors that impact weight and might be reflected on the scale. Additionally, the more you lose and closer you get to a healthy weight, the more likely you are to see those fluctuations as the week to week loss slows down. Keep sticking to your plan and doing exactly what you're doing and you absolutely will see the scale move again. And congrats, 90lbs is amazing!

THIS! one thousand percent. There are antidepressants that DON'T cause weight gain, but some doctors don't know/care enough about side effects to off those to patients struggling with their weight. If you don't think the prescriber is thinking of this, try talking to your surgeon to see if she thinks this could be an issue. There are so many meds that you could be taking that could be adding to weight gain (but... even the cravings to eat caused by the weight gain can be minimized). Also, there are medications you can take to reduce hunger, like metformin and phentermine, along with newer drugs like Ozempic

I was 47 when I had RNY gastric bypass twelve years ago. There was no "honeymoon" period where the pounds melted away for me. I do not believe this was age related because my surgical peers at the time lost weight at about the same rate as younger women. Nonetheless, I exceeded my surgeons goal and have maintained this with a lot of difficulty. An autoimmune disorder, hypothyroidism and medications are to blame for an average loss of less than half a pound weekly. Watching the scale go down and up then repeat was frustrating but I had a good experienced surgeon who also had the same procedure. The metabolically challenged as he put it need to stay on plan even when it seems there is no progress. Not what I wanted to hear at the time. I was angry and beginning to have regrets but a good support network "talked me off the ledge". After a year of following the rules I made changes to my doctor's plan. Using information from the body building community I Incorporated eating practices used to increase lean muscle mass. None conflict with the needs of gastric bypass patients. I researched options I believed could serve me better. At 17 months post op I made my desired maximum weight. I'm still pushing to get 5lbs lower. I deliberately left out the numbers. Not because it's a secret, I've posted this info in the past. Some individual readers may distinguish between weight/BMI classifications then rate difficulty and speed of weight loss to evaluate "success". That is not the point of my reply. Also, I make no claim to post op diet perfection nor do I blame metabolism for my obesity. No matter where you start at any age you will need to work your plan. You may work hard and see only small results as you watch surgical peers break their surgeons rules and do well. Further, you will likely have to make Healthful adjustments to augment your progress based on your needs. I've met many success stories since I committed to surgical intervention and I'm in good company. Today my weight is 30lbs up because of steroids, hypothyroidism, and binge eating disorder. It was 40lbs up a few weeks ago. Age is not the only issue in my struggle but "I Got This". This is one of a few episodes of rapid fat gain. I'm not talking about pounds and Water weight. You will not hear me say I've gained my weight back. What I've put on is fat but it's not mine and I'm not keeping it. I've learned how to "re lose" body fat and curb weight gain in spite of menopause and other factors. There is no secret to my maintenance. Never buy a larger size, period. Clothing measurement, not size number is my guide. I avoid stretch fabrics when I can without sacrificing style. I also monitor my body fat percentage. Formulas used by the YMCA and the military are easy to find. Ten years plus post op forced me to figure this out. A support network even before your procedure can help you learn what you need for the long term. If you have access to counseling or mental healthcare take advantage of it. Many of us with recently recognized mental health concerns like binge eating disorder and compulsive over eating do not know these illnesses exist. They can even be incorporated into a healthy post op eating plan with your nutritionists blessing. The more you know about why you are obese the easier and more successful your maintenance plan will be. Yes, I said maintenance plan. You asked for post op support but You WILL Succeed. We all find our way here because we want to be well and we all can be. I've included what I wished I knew pre op. This process is emotional as well as physical. Every pound lost is joyful but for some even a week with no change feels devastating. Get ready for the highs and lows knowing will be the Winner. Some famous writer somewhere is quoted as not having had the time to be conscise. For me include spell checking and grammar too. You have my story and I hope it's helpful. All the best!

This right here. I shouldn't have even posted but I do feel like we need to be honest with each other. Yes I have yo-yo'd and all the things with increasingly more weight gained. Yadda yadda yadda. But surgery is a very traumatic experience.

I am 21 months post RNY and I am still losing weight. My HW 325 (2/20/20), SW 311 (3/9/20), CW 133. I had an abdominoplasty on 10/27/21 (weighed 145, no lipo due to little to no body fat, and I don't know what amount was removed). I saw my NP today for pist abdominoplasty and then an emergency illness x2 following abdominoplasty stay in hospital same week for bowel obstruction. My labs are normal, my NP says I am healthy BUT, I am on the low weight end and just a few pounds from being underweight according to their standards. She advised me to add in healthy fats (nuts, nut butters, avocado daily), 2 protein shakes, 3 meals, 3 snacks. I just can't eat all of that. And little to no cardio and focus on strength training with weights. They are giving me 3 months to gain more muscle mass and gain weight and fill out more. And then return for re-evaluation. IF my weight continues to drop, they are talking about reversing my RNY! I literally cried in the office, on the way home, in the pharmacy (when the girls asked me how my weight and post abdominoplasty were going....they've known us many years) and then I cried several times on and off at home. I keep thinking about the old me, the 325 lb me, the old capacity, no restriction stomach and its ability to hold more, leading to weight gain and then it getting out of control, leading me back down the hole I just struggled to dig myself out of. This scares me so bad. I mean, it's ultimately up to me, right? As in, if they ended up scheduling that procedure months down the road, it's my decision if I go or not, it's my body. I'm thinking of seeking out a different opinion on this because this just doesn't seem like it should be the conclusive answer to this issue. Does it?

Hey everyone. It’s the holidays and I have to admit I kind of lot my mind a little. I actually went home for then holidays and alot of my favorite foods the had. I don’t feel like I over indulged at one time. However, I do feel really guilty. I was doing so well. I have my surgery scheduled on Jan 18 and start pre-op diet Jan 4. I had people say enjoy myself, but I feel so bad. I don’t know if I gain alit of weight, but I feel like I’ve gained some. Is anyone else going through this? thanks. Ty.

Admittedly I have been more sedentary than i ever was. Couple that with feeling awful from GERD and depressed about the weight gain, I have been spiraling for awhile now. My sleeve was very successful and I even if I only gain the benefit of my GERD being gone, it will be worth it. My doc doesn't want me on omeprazole any longer. You are only 8 days out of surgery...are you feeling ok? I assume you are still on liquids. Keep in touch.

First of all, I just want to say that I am so proud of you for reaching out and getting the process started. Sometimes that very first action is the hardest but you did it and that's something to celebrate. I would say as you're working through the process of getting approved for surgery, it would be worthwhile to see a therapist. I also have abuse and trauma in my history which heavily contributed to my disordered eating and weight gain. Getting help for my mental well being was the single most important piece of my journey. The surgery is just a tool and it will only work as well as you learn to use it. Making sure that you work through trauma, learn new coping mechanisms, and have a solid support system in place will help ensure long term success. As for questions, I'd say keep a journal or notebook and write things down as they come to mind. Then, take that to your appts and ask them all as you're able to. Personally, I wanted to know all about my surgeons success/mortality/infection rates, the pre- and post-op diets, long term eating habits, vitamin and supplement requirements, and my personal health history and how it may impact surgery and success. Of course, other questions came up along the way, so I asked those too. Welcome to the WLS surgery club. We're glad you're here and we're cheering you on!

definitely get on top of that ASAP. It'll be a lot easier to lose 10 lbs than 50! If you're not still weighing, measuring, and logging your food, I'd start there. do keep in mind, though, that a 10-20 lb rebound weight gain is very common in year 3. It's just your body settling into whatever weight it wants to be. That's not to say you're stuck there - you CAN lose it - but if this your body's new "set point", just be aware that it's going to take some work to get down to - and maintain - a lower weight.

You may be slipping up in minor ways that add up in the long run. Weigh and measure everything. Track your food on an app like Baritastic. It will keep you aware of what you are actually eating. You could also try resetting your set point by returning to all liquids, and build up again to solid foods over several weeks. If you have achieved your goal and stayed there for a while, a bit of weight gain is quite normal.

So... what happens when you stop checking out the forums every day and quit tracking? Well, for me it means weight gain. Hit my low of about 165 and then... well... then, essentially have been on a bender since then. It's been about a month. I know what I have to do, I just have to actually DO IT. I'm up 4lbs and can't seem to shake it. I'm NOT going over 170 again, but I have to find that happy medium between starving myself and gorging myself. My solution: start holding myself accountable. I'm starting over today. Tracking, posting, and weighing daily. For others out there in the same boat, don't give up or give in. Take it one day at a time and don't let setbacks get you down.

The most common side effect of trazodone is weight gain. I’d avoid that one!

I had surgery two and a half years ago. I, too, had an extremely traumatic childhood, part of which involved being frequently left home alone without food. That obviously led to a host of eating/food issues and a considerable weight gain in adulthood. I've lived with a fear of starvation since childhood, so was also concerned about whether I could go through the various eating stages for the surgery. What really bolstered my confidence was when I was able to severely restrict my food intake a few weeks *before* the surgery, paring down my calories to about 800/day, which is what I would live on for the year after surgery. After the initial fear wore off, it actually became easy. I was really shocked at how easy it was. Plus, I was lucky to have weekly therapy to discuss my progress and concerns. The surgery resulted in my losing my lifelong fear of starvation. My brain now knows that there is always food available to eat, that I won't be threatened with hunger, etc. It has been really uplifting. I hope this happens for you, too, whatever your childhood issues were.

Hi. I’ve struggled with my weight for most of my adult life. My weight has fluctuated so much and I’m tired of looking and feeling the way I feel. I lost my mom four months ago and it hurts like hell. I wish you all the best and I pray for your comfort-emotionally, psychologically and physically. I’m scheduled for surgery on December 10th. I’m nervous and worried but I’m also excited to look and feel better. My back and feet hurt constantly and my anxiety and depression is all over the place and I dread taking pictures and going out because I’m so ashamed of my weight gain. Since my mom has passed food has definitely been my comfort.

I know every surgeon is different, but I to- went in to speak with my original surgeon about a resleeve procedure and he advised that is was a bit of a tricky procedure and heavily weighed on whether there was dilation of the pouch and/or scar tissue. We decided against it and I'm currently in pre-op for revision to RNY (GERD, weight gain) Of course, do what you feel is appropriate for you, but make sure to ask a lot of questions because I didn't take a lot of things into consideration when bringing the idea forward. Good luck!!!

LIke @Jaelzion, im a grazer. Its what i've got to do as I am limited as to what i can eat at one sitting...both during weight loss phase AND in maintenance (but more so in maintenance as a need to keep calories up) I'm 3 years post op (and been maintaining my current weight consistently for almost 2.5 years) and this way of eating hasn't (yet) resulted in any unintended weight gain. For ME it doesn't seem to matter how often or what I'm eating...just total calories...so it doesn't matter if eat 2000 cals in 3 meals or if its spread out in 15 small snacks throughout the the day....end result is still the same.

The further out I get, the more I adopt the attitude of Never Say Never. I have regular crap food in my diet. As I do healthier stuff (i love me some salad). I love food and can thoroughly enjoy eating in my much smaller quantities. Balance and portion control is key for me. I started eating bread again (the regular, non-keto, full-everything kind WiITH butter) about 2-ish years post op…and surprise, surprise, I didn’t implode. Warm, fresh bread is THE BEST (my Mr. is the bread whisperer lol). Now, I won’t eat 5 slices anymore, I’ll likely just have 3-4 bites (as it is very filling for me), but still. Other than excess sugar, I can enjoy a wide range of foods with no ill effects nor unintended weight gain. Im 3 years post op and been maintaining my weight consistently at 115-ish since reaching goal almost 2.5 years ago…non-healthy food choices (with portion control) and all. My most recent labs a couple weeks ago showed once again that i am the picture of health. I do understand that for some folks, some foods are triggers or potential starts of slippery slopes. I guess just know what your boundaries are and strive to stay within them. You may not be perfect, but u can be perfect ENOUGH. Indefinite denial and avoidance, especially if it causes you angst is a meltdown waiting to happen. P.S. For those early in the process, for me it helped to tell myself: “Not right now, but maybe later”; or, “This kinda sucks, but it won’t always be so”. Making peace with the fact that nothing is forever helped with accepting my present circumstance. and who knows? what u really want today may not even be on ur radar tomorrow or next week or next year. And if it is, you can always have it then. Good Luck! ❤️

slight weight gains when you're in or near maintenance are very common, but I'd try to get ahead of that because it could start getting out of control if you're not careful. It's way easier to lose 5 or 10 lbs than it is to lose 50. I've been in maintenance for about five years now, and I allow myself a few lbs of fluctuation, but when my weight gets up to my "oh crap" number, I spring into action. It's all hands on deck until I'm safely back in range. If 172 is comfortable for you, maybe have 180 as your "oh crap" rate? (just a suggestion - you could make it anything). To get back down, just really buckle down and make sure you're following all the rules until you're safely back down to where you want to be. note that a 10% gain (10-20 lbs for most of us) is VERY common after you hit your lowest weight. It usually happens during year 3, but then, you lost your weight very quickly, so you're likely already in maintenance even though it's only been a year (and congrats, by the way!! That's an impressive loss!!). That 10-20 lb gain is not inevitable, but it seems to happen to the vast majority of us without much "effort" on our part. I think it's just your body settling in at a weight it wants to be (not saying that you're doomed to stay there - with effort, you can get lower - but our bodies do seem to want to settle in at some "set point" - unfortunately, my "set point" is about six lbs more than I want to be, so it's a constant struggle!!)

Hey everyone I had the switch in September of 2020. I was 419 pounds and got to the lowest point on October 14 where I was 172 pounds. However in the last 3 weeks I am back to 179. I’m getting all in my head and trying to figure out if I’m doing something wrong or is there going to be weight gain regardless. I just figured I had more time. Any feedback would be super amazing.

I’ll be 2 years out post VSG in January… lowest weight was 122 back in February… now I am 135 and I have an 18 month/2 year check up tomorrow!!! I am freaking out! I’ve been working out and trying to gain muscle but this weight gain has me stressed, overwhelmed, depressed, you name it uhhhh. Anyone else in the same situation want to talk and help each other out?

It's really frustrating! It happens to a lot of people; it took me 7.5 months to have the surgery, but your delay sounds really unfortunate. As @ShoppGirl said, you will be there before you know it. Work on the depression the best you can with therapy and medication if needed (If you start medication for depression, make sure the doctor tries a medication that is less likely to cause weight gain). I found that once I was set to have surgery, I tried to live a more "bariatric" life, by eating more protein and fewer carbs and exercising more. It's so hard to do any of this when you're depressed, but at least try upping your protein. It will help you feel less hungry, or at least it did for me. If you can take a walk in the fresh air, it might make you feel better for a bit. (Of course, that depends on your weather... I live in Boston where we have crap weather a lot, so I often walk in the mall!) Stay strong!

Try not to be too discouraged. These are the hurdles that your insurance company hopes will make you give up so they don’t have to pay for your surgery. Keep getting treatment for your depression and do the best you can with your weight. I bet once you have a surgery date you will be able to lose a bit if you want to. Be kind to yourself though. Depression is real and weight gain or loss is not at all uncommon. I have actually had it present both ways in myself. When I was younger I would lose weight during bouts of depression but now that I am older and also on medication it makes me gain (not sure if it’s age or the meds that cause it but I can’t change either so I just accept it). I have my fingers crossed for you that your consult appointment goes on as planned and you are able to officially start this journey. Once you are on the other side of surgery looking back you will realize it goes faster than you think. But definitely keep getting treatment for that depression because you want that under control before surgery to give yourself the best chance at losing all your weight post surgery. Keep posting on here too. This is a pretty special community. It’s been very helpful for me. Congratulations on your decision to pursue WLS and best of luck on the next few hurdles. You’ve got this.

I had a sleeve gastrectomy too & had some reflux before surgery. I was also a lot like you in that I spent years not eating & skipping meals so my metabolism was pretty shot & I enjoyed a large glass of wine or two at night. I eat more now than I did before surgery (smaller portions but more frequently) & I’m making better food choices. My metabolism is much faster - I feed it all day long. Only have a drink about once a month, occasionally more often or an extra glass & I don’t really miss it or look for it. I still have reflux but it manifests differently but is generally managed by 20mg esomeprazole everyday. The average weight loss across sleeve & bypass is about the same at around 65% at the five year point. That is 65% of the weight you need to lose to put you at a healthy bmi. This takes in bounce back regain, complacency weight gain, lifestyle choices, medical conditions, etc. As with all statistical data some stabilise at a higher point others at a lower point. The surgery will get you so far. There may be physiological & psychological factors which influence your success but ultimately it is up to you. I lost all the weight I wanted to lose plus more - 137% loss. Wasn’t intending to lose more but it took me while to sort out my maintenance. Been stable for a year now. I made sustainable changes to what I eat & when I eat & came to terms with why I ate. I still have odd days or times I’m not hungry but I still try to eat because I recognise I need to eat for my body to function. Eating because I need to not because I want to was an important realisation & contributing factor to my weight loss & now in maintaining my weight. Not perfect about this though because I do enjoy the odd treat but I’m careful about what the treat is, the portion size & why I’m eating it. Good luck with whichever surgery you have.

im curious about the weight gain on the RYN, how is that possible with having no stomach? What is it that stretches? I thought with RYN weight gain was tougher? Im having my RYN tomorrow. Sent from my SM-G973U using BariatricPal mobile app

My surgery date is November 12 and i just went to my Pre- Ansesthesia Testing yesterday. I notice when i got weighed that i gained 5 pounds, my surgeon told me that she doesn't want me to gain anymore weight, now I'm stressed out I've been working out and cutting back calories as i was told to do. but instead of loosing I've gained, I don't know if me being on my period for the past month has anything to do with the weight gain either. I just hope this wont postponed my surgery I've worked so hard these past few weeks