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I lost quite a bit of weight PRIOR to WLS, then had a TT. After my TT, I had the mind set that "now I no longer have to be as careful about what I eat". Of course that thinking led me to ultimately need WLS. Just saying, don't fall into the same trap I did. Even after a TT it is still possible to gain In your abdomen. Your weight line increases and your upper abdomen will get fuller.

Good morning! I am so sorry about the weight gain. All I can tell you is what I do, what I've done from the beginning. For me it is a total lifestyle change, as natural to me as breathing. I call this my 'dashboard'. 1) I weigh EVERY day. I KNOW how quickly I could gain eight or ten pounds, and that would be overwhelming to me. If I'm up a pound or two, I just make a change or two and it's gone in several days. 2) I weigh and/or measure my food when I am at home (eye ball it carefully when out) 3) I log my food on my fitness pal. Before discovering MFP, I used fitday.com and at the VERY beginning, I have a spiral notebook and wrote it down. 4) I attend support groups My comfort zone is 142 - 145, I weigh first thing in the morning, out of bed, go to the bathroom and on the scale. A pound or two is manageable, but for me, I cannot go by how my jeans fit, by that time I'd be up ten pounds and it would take me a few months to get that off, I'm sure of it. I must track my calorie, there is a fine line for me between maintaining, gaining and losing. I've been doing this for over 2.5 years, so I've got the hang of it, but I can never be complacent. Like I said, this is my new normal. This is why I call what I do, my dashboard, if a 'light' comes on, and to me, being up a couple of pounds, or my calories being above what I need.....those are my lights. I just change things up a little, meaning, I lower my calories by 100 -150 and that takes care of it. Make sense? My advice is, find something that works for you, something you can do forever, there is no end date, we've made a lifetime commitment.....and make it part of your life. Good luck, you can do this.

Sunday I did the Insanity workout. I was so sore Monday and Tuesday and I weigh in today and I am up a little over a pound! Can t be related to how sore I was? My food I take was the same so I know it can't be my eating. It's not that time of month. I know I shouldn't be so worried about a pound but I'm just wondering if exercise causes weight gain? When I was working out I felt fine...I went at my own pace and I took breaks and drank Water. Thanks in advance!

Would your primary care doctor be willing to help? Maybe he could document your weight gains and losses, then you could state the diet behind them? (Atkins, etc)

Good point! Maybe not enough of both. Would this cause weight gain if not?

Can someone help with my weight gain??? Please!! I had my sleeve surgery two and half years ago and for about two years I stayed the same weight...125 lbs. However about two months ago...my weight went up to 137 lbs and my frame is filling out more with muscle and not so boney. But I am concerned as I have gained 12 lbs. in only two months! I have been exercising the same as I always have although honestly I have been snacking a bit but nothing out of control. My calorie intake is roughly the same. I don't understand what is happening with my body and my clothes don't fit well. What can I do?

I'll answer the same way kgremmy did. *What are the major differences in pregnancy before and after the VSG procedure? None at all. ( I was sleeved in November 2011) *Did you have weird cravings? It seems like you would not because the Ghrelin is gone. Nope. Never had craving with my first pregnancy (before VSG) and neither had cravings with my second pregnancy (after VSG). I just wanted to eat all the time. Probably because can't eat much in one sitting. *Did you gain a lot of weight? Was it a struggle to gain the weight? Gained a ton of weight! 55lbs. Wayy wayy wayyyyyyyy too much. I voiced my concerns to my doctors, but they said it was ok and didn't seemed concern about it *Were you nauseous? more than normal. Not at all *Were there any concerns about taking in enough food for the baby? Never, I was constantly hungry and believe that's the reason why I gained so much weight. *Anything else noteworthy? Yes, eventhough I had no weird cravings I did want to eat the "comfort food" You should just snack as much as you want, but stick to veggies and fruits and nuts. *It is strange but I can't seem to fine a lot of information on this topic. I just want to make sure I am prepared...* I know, I fell the same way. I had my baby 3 months ago. Healthy little boy. I lost 30lbs within the first couple of weeks. I still have to loose other 25lbs to be on my pre-pregnancy weight. It is not coming off, but to be honest I have not gone back to eat the weight I was eating before and I have not resume my excesice routine. I'm exhausted! (due to my fibromyalgia and also have 4 yr old and work full time). I just took my first step into going back to my routine and started to log everything that goes into my mouth. It is a big help. good luck! Maria.

Hello, My name is Maureen and I am a 45 year old woman from Olympia, Washington. I have been overweight ever since I can remember. I have always been on a diet even from a young age and still obese. I am currently over 330 pounds and 5'2". I am afraid to step on the scale. My BMI is over 60 and I am concerned for my health. I have high blood pressure and severe sleep apnea. My biggest fear is dying and having to have 6 firefighters carry my body out of my house. I went to my pcp and requested to have gastric bypass back in August. She sent in the paperwork and I was approved to move on in the process. I have Group Health as my medicare advantage. I finally had my consult with the bariatric case manager and she sent out a questionnaire for my psych eval. It specifically asked if I have depression and or bi-polar. I have both, but have been stable since being medicated 7 years ago. I am concerned that I will be denied my surgery due to this. I am hoping not because at this point it is life or death. I have changed my medication to lamictal (spelling) which is not suppose to cause as much weight gain as my previous medications. I am excited to be part of this forum and have been reading your posts for over a month. Thank you for all your information. You sound like a very supportive group of people. Thanks for listening, Maureen

The consequences for the caffine and liquor, other than the addiction factor, is an increase in the likelihood of getting an ulcer. Drinking after you eat will push the food through your sleeve faster, meaning you will be hungry again sonner...which leads to more calories and weight gain. Also depending on what you put in yr coffee, if anything, that and the liquor are just non-nutritional calories.

I've gained 10 now but I bounce in weight up and down. Every body I have spoken with said your restriction returns and weightloss happens just make sure even if you indulge stay as best you can on diet. I haven't been putting enough Water in and eating instead that's how I've gained a bit. But because I want to breastfeed I'm trying to train myself now to start drinking more. I also struggle to keep my blood sugar up. It keeps diving so I have to eat late at night which also contributes. But don't fret the weight it comes off. congrats! By the way I was 7 months when I got preggers hw: 294 dos:261 when I got pregnant: 196-97 currently:207. I could worry I just don't look at myself in the mirror naked it reminds how I looked before all the weight was gone lol I'm currently 21 weeks most of the weight gained since I've started snacking late. I know this is all temporary. Sent from my EVO using VST

I'm 14 months post-op RNY and doing great...no problems whatsoever. To be honest, I don't understand how some gain their weight back after bypass because it is so uncomfortable/hurtful to overeat. One bite over my pouches limit and I hurt bad and vomit. My belly definitely lets me know when I'm approaching fullness. In other words, I wouldn't let the possibility of weight gain deter me from having the surgery. It's really within your control to avoid regaining any weight, in my experience and opinion.

Today, Oct 20th, marks my second anniversary of this surgery we call RnY. In a very real sense it feels like the second birthday of the new and improved me. I can't help but reflect back on all of the changes that the last two years have seen. And at the same time, thinking in terms of new goals and challenges for the coming year. The first year following my surgery was an exciting time indeed. I was laser focused on one thing - achieving my optimum weight. I decided even before my surgery that rather than set a specific goal weight, I would allow my body to tell me when it was where it wanted to be. Just over a year later, that message came at 155 lbs. My weight stabilized. I felt great. And in my one year follow-up visit with my surgeon, she recommended that I not lose any more. It was time to shift my thinking, and my actions, away from losing and toward maintaining the new, 130 lb lighter, me. I had reached my destination. When I looked back at that first year, it occurred to me that is was much like what walking a tightrope would be. Maintaining an average calorie intake of just under 1300 calories a day was something of a delicate balancing act. There were days when I was over my goal. And those days had to be followed by "corrections" - days when I was under my goal. It was all about balance. And in the back of my mind the nagging, and always present fear that one misstep could result in all being lost. The more rational, confident part of me did not think that would happen. Still, I knew the surgery could be defeated. What if... So in that same follow-up appointment, my surgeon recommended that I increase my calories to approximately 1800 a day. To be sure, the number had some appeal. But I was concerned that it might be too high. What if? So I opted for a gradual increase to a more conservative 1600 calorie goal. My decision was undoubtedly due in part to a concern that kept going through my mind. It seemed that everywhere I looked, I read that many (if not most) bariatric surgery patients gain 10-20 lbs somewhere between 12 to 18 months post-op. A weight gain that is often described as "bounce back". That was out of the question. I was determined to not let that happen. So my goal for this past year became ensuring that I held my weight at, or very close to, the 155 lb mark. As the days and weeks went by my confidence grew. I decided it was time to really get to know my new body. I was tired of the balancing act. I wanted to enjoy a nice dinner at a nice restaurant with my wife, our family or friends. Or Celebrate a holiday or birthday enjoying the food that is inevitably part of festivities. I needed to test my limits. And I needed to know whether or not I had what it takes to do those things and still control my weight. Thanks to the amazing power of my food log, I got my answer. And it was in pursuit of that Quest that I discovered something quite remarkable. First there was the occasional 1800 calorie day. Not surprisingly, the following morning weigh-in usually reflected a gain of a pound or so. So my calorie goal became 1400-1500 for the next day or two. And sure enough, my weight would drop back down. Not just once or twice, but a number of times over the weeks and months that followed. Then came the occasional 2000 calorie day. Not often, but every now and then. Weight went up. Calories were reduced for a day or two. Weight came back down. At some point along the way I had a revelation. Controlling your weight is not about walking a tightrope - it's about riding a teeter totter. Up...and down. Up...and down. Gently. Relaxed. No fear. One misstep is not catastrophic. Wow. Since hitting the 155 lb mark almost a year ago, my weight has never been more than 156, or less than 151. This morning, this second anniversary of the new me, 152.2. No bounce back. Wow. So my goal for the coming year? More of the same. I have read in many places, including this forum, that maintaining your weight becomes more difficult after the two year mark. But I will be facing that new challenge coming not from a place of fear, but of vigilance. My food log will guide me. And it will tell the story. So next year, same time, same place - the next chapter in this amazing, life-changing journey.

Hi all. I have a 11 week old baby girl and after giving birth I lost ten kilos straight away. Eleven weeks on and ive gained back a few kilos. Have 5ml in my band and I have been eating okay and exercising a bit (not too much though as im breastfeeding). Starting to worry about why my body isnt losing weight. Could this mean that something is wrong with my band. I had it to tight a couple weeks ago so hand some fluid taken out and now I can eat healthy foods but im still gaining. Any advice and tips would be much appreciated

This sounds just like me, when I met my husband I wasn't heavy either. I was 15 years old when we started dating and I weighed 118 pounds. I think the weight gain had to do with a few things, one I grew up poor and we lived off of pb&J, mac and cheese and ramen noodles. So when my husband (boyfriend at the time) would bring me McDonald 20 piece nuggets or take me out to eat it was like a huge luxury to me and I would just pig out. Around age 18 (literally like over night) I went from someone super active to not even being able to get out of bed because I was just so exhausted all the time and I was also never hungry. This went on for YEARS!! and during that time is when I gained about 100 pounds. I didn't have health insurance at the time so I never went to a doctor. Then we got married and I was on his health insurance policy. About a year into the marriage we decided to try for a baby and I ended up having miscarriages and ectopic pregnancies (one of which took my fallopian tube) so we set up an appointment with an RE and he ran a bunch of tests and that is when I discovered I had hypothyroidism. The doctor said most likely I had it for years and it was never diagnosed because I hadn't been to a doctor. My thyroid levels were through the roof he said. So I'm a little bit bitter and angry because I feel like the weight gain could have been prevented had I even known what hypothyroid was and had it diagnosed 9 years sooner. Anyways, what I meant about being in the same boat was that my husband is an enabler and spoils the crap out of me and gets me whatever I want but I really hope after this surgery he doesn't try and sabotage my weight loss efforts.

Thanks for your thoughts! I am def planning to wait at least 12 months. I do want to optimize my weight loss before getting pregnant as much as I can. I do worry about weight gain with pregnancy, but I plan to work closely with a nutrionist to ensure the baby is getting what he or she needs and try not to stress too much about my weight.

Howdy, My name's Blue and I've always felt fat even when I was skinny. Back in high school, I weighed 140lbs (I'm 5'7), but I thought I was fat because my two best friends at the time were teeny, tiny. One wore a size 00 (Extra, Extra Small) and the other a 0 (X-Small), whereas I thought I looked like a beached whale in my size 8/10. In addition to self esteem issues, I suffered from untreated OCD most of my life which contributed to my 100lbs weight gain over the last decade. I know the LB is not a magical cure and the hardest part is going to be retraining my brain not to reach for food as a comfort (and not to replace food with another vice like excessive drinking, gambling, shopping, etc). I am fearful of choosing the wrong doctor and the incision getting infected and/or having some weird complication that threatens my life or possibly kills me. HOWEVER, if I continue on the path I am now, then my own body will be my executitioner. Right now, I am in the planning phases. I've been researching online for a LB surgeon in my area so I can get in initial consultation. One of my friends had the procedure done in another state, so I'm thinking about asking who did hers. A little non weight stuff about me - I'm 29 years old, a classroom teacher, and the wife of an amazing man. I'm kind of artsy-fartsy and though I can't draw very well, I appreciate art and enjoy seeing it in books, museums and exihibits. I'm always reading and want to publish a novel someday soon. I listen to a varity of music (rock and roll, alternative, punk, classical, New Age, pop, etc). I watch more t.v. than I should, am a Christian who believes heavily in karma and good vibes and I like going to the movies, dinner, road trips and shopping.

I've gained about 5 pounds since my 1st Nut visit. I had my 2nd visit yesterday and I was so afraid they would be talking about how I gained, and If I really want this I need to stick to the plan etc...But it was totally different actually. They didn't even mention the weight gain and concentrated more on new behaviors I should start. I have my 3rd visit in 3 weeks and I plan to lose those 7 pounds not for them but because I really need to stick to the plan. However until I get my approval Im making sure I stay at a BMI of at least 40. I don't want to take any chances with the insurance.

My husband of nearly 30 years has actually expressed this once or twice, but only early on. He went to the seminar with me, where they gave the statistics of increased divorce rates after WLS. He was also a huge feeder. If I wanted some absurd food item at any time of night or day, he would actually run and get it for me, lol. I am spoiled. I was 145 when I met him, and while I think this behavior contributed to my weight gain, I blame no one but myself. But, since surgery, he understood my goals, and has been very supportive. He stopped offering food, and doesn't bring much of it in the house. He can eat anything and everything, and will try not to do it in front of me. Anyway, I do think it's a rational fear, given the statistics. If you have a solid marriage, he will quickly learn it's not a risk in your circumstance.

I would NOT have a surgery I was certain I would regret, unequivocally. I considered WLS for 20 years before I had it. I was pretty sure I could lose weight if only I just tried harder. I'm a registered nurse, brought up in the world of science, and thought I knew everything there was to know about dieting and weight loss. I even knew the statistics about the dismal failure rates, but I thought I could/should overcome that brutal reality. So, while I dieted, lost some weight, gained some more, I went to several surgeons over the years, even went so far as to have the pre-op testing completed, and always backed out. At the time, RNY was the only option, and I just couldn't get on board with the malabsorption thing (and still can't). So, I thought I might regret it, and I never went through with it. Once I learned of VSG, I KNEW it would be the right decision for me, and I have not regretted it. Lots of people say their only regret is not doing it sooner, and while I do wish I had this option 20 years ago, I do not regret having a surgery I knew I would regret.

I had an appointment with one (of three) psychs recommended by my surgeon. She said the process would be 3+ hours long with the 600 question questionnaire. After reading on here about folks having much shorter appts, I called another psych on my doctor's list: 100 or so questions emailed to me in advance, then a 45 minute chat in office. Discussed childhood, my weight gain, WL efforts, at-home support, etc. A few answers rabbit-trailed off to a few other questions, but nothing intense or super deep.

I'm curious as well to what your diet is like? How are your carbs? I try to keep them as low as possible and the Protein high. Don't regret your surgery. You did it for you. No matter what we, we are going to have to work hard to reach our goals. Weight gain could be anything, maybe your holding on to Water? Drinking enough water? Hang in there you will soon start dropping those pounds!

Omg so I was 241 pre op surgery was oct 1 went down to 221 and now 3 weeks later I'm at 224 why am I gaining weight I feel so stupid I had this surgery done It's irreversible only for me to gain weight I'm going crazy please help!!!!

Hey ladies! How long did you wait to get pregnant after vsg? My surgeon suggests waiting 18 months before trying to get pregnant. I have read about women who got pregnant unplanned, much sooner than that. I worry a bit about pregnancy weight gain, but mostly I want to be healthy and have a healthy baby. My husband and I do not have any children yet and have been getting a bit of baby fever lately. Of course it started after I was already in the process of trying to have surgery. We agreed I would do the surgery first, then think about having a baby. I feel like one year out would be ok to start trying. It may take awhile anyway. I am newly sleeved, so I have awhile to go yet, but it is something that is on my mind. And thoughts or advice would be appreciated.

I hate clothes shopping, and fortunately, I wear scrubs at work, so don't need a lot of work clothes. I tend to do mail order, and have a roomful of clothes mistakes from things I should have returned but never did (one of my postop projects). Fortunately my best friend is a shopaholic who considers it a challenge to find things at TJ's, thrift shops, etc. For her, it's a stress reducer, for me, it makes me want to jump out of my skin. Part of me still wants to hold back some fat clothes, just in case. After years of different diets, and the inevitable weight gains afterward, it's hard to have faith emotionally. Although with the band, I gained some back but not up to my top weight. Does anybody else feel this way?