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I was in a somewhat similar situation with regards to insurance coverage and time frame. I had to revise from the band to the sleeve because I had esophageal dilation, then all the fluid removed. The entire time my team told me to just not gain weight because I was already under 40 BMI and had no co-morbidities. We set a date, I completed all of the prep and my surgeon submitted the paperwork. I received notice that I still needed to lose 5% and had 2 weeks to lose 10.8 pounds or my surgery would have to be rescheduled (they were booking 2 months out)...Grrrr! I lost 10 pounds in that time frame by following the pre-op diet and daily cardio. Resubmitted, with the thought that it wouldn't be approved because I missed the mark by 0.8 pounds😒. But it was!! It was stressful because I nearly had to weigh-in naked to document the 10.8 pound loss on the very last day the surgery could still be considered, and I was so close (I wouldn't have even need to cut off an arm to make goal!). Sometimes the insurance companies will surprise you and do what is right! I concur, the diet is challenging, but you can do this! I had to follow it for a month (two weeks for the power weight loss sprint, then two weeks truly for the assigned pre-op diet). Yikes! I don't know if it got easier or I just became delirious and convinced myself that I was eating real food, but I survived. You definitely can and will, too!!! Think positive; it is so worth having the mindset that your surgery will progress as planned...so be prepared!😊

First... relax. Second, use the search feature to search for "Stalls" They happen very often, it's normal, BREATHE! Stop freaking out, just follow your diet plan and don't stress. Make sure you are getting upwards of 128oz of water (yes that much, it's important) and if they didn't tell you, typically band revisions don't lose as fast or as much as those that haven't been revised. And for your own sanity. DO NOT COMPARE YOURSELF TO OTHERS... no one is going to lose the same way you do, so don't even open that can of worms.

I’m feeling VERY discouraged! I bad lapband to sleeve revision surgery September 13th and in the first month or so dropped about 25lbs. However, but the end of the 4th week or so and up until now I’ve been at a CRAWLING weight loss pace...I don’t weigh every day, but it feels like I’m just bouncing between 355-358. How am I stalling this early on? I’m not eating nearly as much as I used to, of course and doing my damndest to get in all of my protein. (It’s really hard since protein shakes are now making me gag just because I’ve been doing them basically non-stop for the last 2-3months in my pre and post-surgery diets.) I’ve tried exercise, but I’m so quick to get weak and tired...I think it’s my lack of calories. 😩 I’m wondering if this plateau has something to do with being on such a restricted diet for so long. I lost about 125 with diet and exercise prior to surgery, I was eating about 1400 cal/day and exercised pretty heavy as well. It’s so frustrating with this lack of stamina and eating so little while not seeing numbers change. I’ve decided to cut out ALL POSSIBLE carbs from my diet now that I’m off liquids and go straight to low-fat protein options...only because I can get just a few bites of anything in without feeling queasy still and straight protein doesn’t seem to give me that effect as bad. (Anything creamy, heavy or even mildly “rich” makes my stomach churn minutes after eating.) I’ve added protein to my coffee drinks in the morning, trying to get at least one shake in and nibble on chicken, tuna or whatever protein feels like it’ll sit right. Anyway, long story short...I’m trying but not seeing the scale move hardly at all. How much were you guys still losing a month or two out? I’m terrified this stall means trouble on the horizon and I’m failing this sleeve thing! Please help!! 😭😭

I have a lapband, but I understand your pain. I want to tell you, failing to lose has many causes--I know, I lived on less than 1000 calories a day for years and never lost an ounce. My lapband didn't help me lose much and my first doctor wouldn't give me a fill. So I found another who did. I am practically wheelchair bound (can only hobble around the house). So I started to lose--slowly. the big help was I didn't regain what I lost. One thing I've never heard a doctor explain to me is that excessive hunger can be giving you a message. So many diets I went on ended with me lying in bed, weak and starving within weeks. What I didn't realize was that my body was telling me those diets weren't nutritionally what I needed. I've tried low fat-high fiber, low calorie, vegetarian, all raw salads, lot's of nuts, praying the weight away, self-hypnosis, bodybuilding, lots of exercise...you get the idea. All of them failed because I wasn't listening to my body. When I got so hungry I would eat nails if there was ketchup to put on them, my body was telling me I was on the wrong diet. This isn't a normal,"Gee, that looks tasty." But was more like a weak pathetic cry from my bed that I was dying and had to eat. I kept experimenting and discovered a ketogenic diet helped, but I gained everything back quickly. As I worked with the keto diet, I learned I wasn't drinking enough water, and I wasn't sleeping enough. But the high protein with lots of greens was definitely a better choice than the others. Then I got the lapband, and the slow weight loss with no restriction was discouraging. But it was a tool. And once I got restriction, I used that tool. I mostly stayed on the ketogenic diet. Lots of protein was just a necessity for me. The fat I ate made the diet more enjoyable. The lapband made me eat small bites, or I spent days puking. If I got sick, I had to reduce what I ate because sickness caused my stomach to swell, and I puked. Over the last ten years I've lived on the ketogenic diet, except for two years when I lost control, (I gained 50 pounds and found I had cancer. I believe the sugar cravings after being in control so long were a result of the cancer.) Back in control, and the 50 pounds went away. I've managed to lose 160 pounds. Not a large amount, and I still have over 100 pounds to go. But I am happy not to be the woman I was. I don't know if the ketogenic diet will help you, but I'm sharing my experience to show you have to experiment to find the right diet. And you have to sleep enough to lose weight. So, get the junk out of your house--the chips, crackers, cake mixes, candy, soda, snack food, juices (fruit juice is just liquid sugar water with a few minerals, eat whole fruit instead), and the alcohol (You can go back to 1 drink a day after you've lost weight). And start the eating pattern you feel best on. Just practice eating a healthy diet for a bit. Don't eat much at a time and keep any easy to snack on food (like grapes or nuts) in the refrigerator. Then start working your tool. go longer between small meals, see what happens when you delete starches, or what foods change how you feel. I had to stop vegetarian because beans make me uncontrollably hungry(love those beans, yumm, yumm). Your body is unique, and just because you haven't found what works for you doesn't mean you're a failure. It just means you haven't found the balance of diet, sleep and exercise that works for you. The important thing is NEVER GIVE UP. After 10 years with the band, I'm revising to a sleeve this spring. I love my band, but there is evidence it doesn't do well after 10 years or so. I feel I will do even better on the sleeve.

Personally, I had several. I had some easy, more difficult, almost absurd, and dream. When I was 370, my goals were, 300 for the "easy", 275 for the "more difficult", 250 for the "almost absurd" and 200 for the "Dream". This was when I had the lapband installed. I hit 300. Then I couldn't go any farther, floated up and down from 300 - 320. The revision to the bypass helped me clear all the rest of my goals and now I'm a stones throw from 200. So, the take away, don't be afraid to dream big, just make sure you understand that dream goals might never happen. Set yourself a few goals, that way when you start ticking them off, you won't be frustrated trying to get to JUST that one, crazy, dream goal. And don't forget to celebrate each and every victory with the same level that you would beat yourself up for each failure, it's only fair to be equal!

There is a search button at the top of the forum. It may help to look up topics that relate to your situation. Some links that may interest you. https://www.bariatricpal.com/topic/418753-weight-gain-after-veg/?tab=comments#comment-4684219 https://www.bariatricpal.com/topic/381839-has-anyone-be-re-sleeved-revision/?tab=comments#comment-4312175 https://www.bariatricpal.com/topic/418208-causes-of-revisions/?tab=comments#comment-4676887

Gastric Bypass. I had horrible knee pain and GERD pre-gastric bypass and both have resolved. I don’t think I would have lost enough with a sleeve to improve my mobility and pain issues to the degree I have. I’ve also heard of too many people that have VSG but later need to revise to RNY to correct newly developed GERD or poor weight loss results. This is hard because many insurance only pay for 1 weight loss surgery per lifetime so if you require additional surgery later it might require self-pay or none at all. With your financial situation it may be too risky to have VSG because of the possibility of needing another procedure down the road.

It's cool to see another Tennessean on here. I didn't have a revision, so I'm not sure how the psych eval goes with that, but my Dr got my psych eval before I did. They emailed me saying they had it and a few days later the psych dr called saying he had sent over my eval then the next day, I got the copy of his letter to my surgeons office.

Great info everyone! I have my revision from VSG to MGB on 1Nov and would love to get any advise y’all might have.

I’m 1 November! I’m a revision from VSG. I’m super excited to meet everyone!!🤗

I'll throw my hat in the ring: I'm not high or low carb. I'm more middle of the road. He's why: I eat mostly plant sources (carbs) some meat, some dairy. I can't eat most animal proteins, and the ones I can just don't behave well so I have to limit them. I also cannot eat rice pasta and bread and lose weight. But my goal is not zero. Eventually my health has to take precedence over the mania of weightloss and I will need to begin maintenance. I cant, refuse to eat animal proteins all day long. It's not going to work for me long term. My team knew this when we started together and has backed me 💯 There are alternate paths. Do what will work for you and revise if it doesn't. I want everyone to be successful and happy long term.

People gain for many reasons. The answer is not as simple as go back to basics. It's not as simple as add carbs. Some gain due to complications, need a revision, hormonal changes, medical issues, medication side effects, diet etc. None of this is a one diet fits all. none of us here are medical professionals,

Spoke with my insurance company. They will allow me to go to another weight loss doctor to address my problem and see how I can get back on track, but will not pay for a revision surgery. Well I'm gonna pray he did my sleeve right and it's as simple as putting the wine bottle down, getting in more exercise and counting my calories better. If my sleeve wasn't done right, of course I will go after the a*****e doctor I used. Wish me luck.

Thank you everyone. To answer the questions about my diet. I try to make healthy food choices, I might slip every now and then. I know my main problem is the amount of wine I drink every night. Since my mom and two sisters passed, wine has been my coping mechanism. I drink plenty of water. Wine and water are the only things I drink. I have two glasses of wine per night. I have vowed to stop. Didn't have any last night and the bottles I had I gave them to my sister and cousin yesterday. My sleeve have never stopped me from eating a full meal, never! I would stop myself, because I know I should. My doctor has never checked my blood, never checked for leaks or suggested I have any type of test to see if there's a problem. I pray my insurance will pay for a revision and allow me to see another doctor. I admit I didn't do all I could have done, but my sleeve seem nonexistent. I'm about to make some calls now.

I agree with everyone that surgeon is straight up asshat. I am 18 months out and my surgeon made it a point to see me and have blood panels checked every three months until I made a year. After that, I now have to check in every 6 months with the option to call his office or work cell in case ANYTHING happens. He takes leaks very seriously and encourages me even when I didn't lose half my weight at a year. His advanced nurse practitioner who was in my surgery with him runs support group for wls patients once a month. My point is, this is not only an expensive surgery but it is life altering. This surgeon you have needs to give you all the support you deserve. Since that is not happening, I would research another in the same field/hospital. If not, look through insurance provider lists for options and start making calls. This is your life, change starts with you. Dont let some jack make you feel lesser than. I cannot stand those ones. No support at all. I am sorry you are going through this. You do not deserve that. Please make those calls asap. Rooting for you to find a proper surgeon and team for your revision. Do research, read reviews, gauge attitude towards patients. Ugly can't hide and usually shows on the first day of meeting. Listen to your gut and if it feels wrong, leave asap. Good luck! Aloha Sent from my SM-N950U using BariatricPal mobile app

The same day I had surgery, I had met and made a friend that went through a revision for the same reason. She was eating solids before I was, but her dr was a different one in our Bariatric group. It took me a about 6 weeks before I got to solid I think. I had nothing but diarrhea during my liquid stage. My dr doesn't want me having fruits because of the added calories. He wants the majority of my calories to come from protein. I've been wanting to add fruits to my meal replaced protein drinks. But I can use fruits in infusd water because I'm not eating them. I'm only 6 months post op though

Did anyone’s dr tell them to drink juice post op? Sounds crazy to me. Long story short my revision is tomorrow (not wl related but for reflux) and my new dr said for the first week post op just drink juice mixed with water. But in my head i’m like why on earth would you want me to drink sugar? Like it sounds so backwards to me but idk. I’m also not allowed to have food until january, has anyone else had to wait that long? My first time around, i started slowly eating soft foods after about a week or 2 and i was fine, the weight came right off and hasn’t come back.

Thank you guys so much for the advice and the positive enforcement. Yes he and his nurse are big asses! Lord knows I should have followed my mind and went to someone else. From the beginning he didn't think I needed the surgery. I just didn't feel like starting over. Boy I wish I would have now. How often do you guys see your surgeon since your surgery was done? I'm gonna call my regular doctor and my insurance company today. I pray my insurance pay for revision surgery.

Stall, Stall, Stall.......I'm frustrated. I am 5 weeks out revision from sleeve to bypass. I also had a set back of a small bowl obstruction which landed my back in the hospital week 2. I guess i am in the dreaded 3 week stall. I haven't lost anything since the 3rd week. I lost 14.8 prior to surgery and 16. 8 lbs since surgery on 9/10, but nothing since the 3rd week. I have actually gain and lost the same 1-2 lbs for the last 2 weeks. I know it happens, and by body and adjusting and all that, but it is still just discouraging. I am getting my protein in and i have been doing better with liquids although i still need to improve more on that. It is just that, we are eating so little compared to preop, and i can't help but thinking, I should be losing something every week. My mind says how in the world can i not be lose anything for 2 weeks on what i am eating?? I am a revision from sleeve to bypass so i know i may also lose slower than other new bypass patients. I just can help but worry will the stall break? Will i not lose anything else? Will this not work for me because I had previous WLS? I'm sure i am am overreacting today (I hope!) but today I just seem more frustrated than other days, and I needed to vent to those i know will understand my frustration. I had prepared myself for stall, or so I though, I just i just really didn't prepare myself, that this soon out i would be going into a 3rd week of a stall. End of venting session. Thanks for listening.

That"s awesome, I have had no problems with the sleeve either. I do not for one minute miss that band. No Regrets in life but I would encourage anyone with a band to revise asap. Its a much better journey. Dawn Marie

Thanks for that. Glad to hear things went pretty smoothly. My surgeon uses a 1 step process for band removal and revision unless there are major issues. As for the tape allergy , I know all about that

Interesting that we have similar timeframes! How was the revision. Is there anything I should know in advance.

I'm in Perth. Also banded in 2009 and revised to RNY on 26 September. Medibank covered most of it, but I still had a $7500 gap (accessed my super for it) and Medicare paid $1175 back. I'm waiting until tomorrow to go to Medibank and claim back the things that Medicare don't cover (anaesthetist fee, labs, etc). Once I get to a regular diet my dietician said I can eat just about anything I want, so long as it's low carb and has lots of protein. My sister had RNY in Canada 7 years ago and she's done great. She's lost about 40 kg and kept if off. She eats everything! When she was over visiting me in April she insisted we get pork belly and she wanted lamb (things they just don't do where I'm from :D)

I had my gastric band put in in 2009 and lost 41 kg (90 lbs) over about 18 months. I then had abdominoplasty in 2012 to get rid of 5 more kg (11 lbs) of skin. Once the surgeon took the fluid out of the band for surgery it was stuffed! I could never get just the right amount of fluid in - 3.5 ml and I couldn't swallow even water, 3.25 ml and I was starving. As a result I ended up gaining back 32 kg slowly over the last 6 years. I finally got fed up of feeling tired and fat and in pain all the time with bad knees, so asked my bariatric surgeon what we could do about it. He suggested revision to RNY, and I trust him implicitly, so said ok. I had my band removed on July 17th and it was alright. I was only in overnight and like Matt he used the same incision points as my original surgery so no new scars (not that anyone looks at my belly anyway ). I did have a lot of post op shoulder tip pain, but that went away very quickly. I'm also very allergic to any kind of tape and developed a terrible blistered rash under the OpSite he used over the incisions. The only other downside was that I was able to eat anything I wanted and in large portions. I gained another 6 kg before my RNY on 26 September. The RNY surgery was super easy. I was admitted at 6:30 am, taken to the OR at 7:30 and back in my room and wide awake at noon. I asked the nurse doing my obs if I could get up to go to the toilet and she said I could so I took myself for a walk around the ward before getting back into bed. I had absolutely no pain with any part of the surgery. He used Dermabond glue instead of bandages or Steri-Strips and it's pretty much all fallen off now. I think the worst part was having the drain removed 2 days post op. I was only in hospital for 2 nights, which suited me fine. I think people recover better at home where they can lie in their own bed, not be woken up every 2 hours for someone to check blood pressure and such. I did go home with a terrible head cold (that I think my partner gave me) and developed shingles on the side of my face and up my nose, but honestly I'm sure that was a side effect of my body having to try to heal itself from the surgery and then the head/chest cold on top. I'm now 3 weeks out from the RNY and could not be more happy with my decision. I'm down 2 dress sizes and the pain in my knees is so much better.

I suspect I'm beginning maintenance but not certain,i have quite a bit of time left to still lose ( another year I think, we'll see) I will just continue with my diet mostly unaltered, revising only to strip it down again if things sneak in, though I doubt they will. It's simple clean whole foods with planned splurges. I like it , it's comfortable, I don't feel deprived... I'll land where I land. Long term I will rely on Intermittent Fasting & mostly plant based life style.