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Hello everyone! I had the gastric sleeve done in 2016. I lost a total of 140 lbs. I hit a stall and managed to keep myself at that amount. Fast forward to 2020. I was diagnosed with Fibromyalgia, Chronic Fatigue Syndrome, Hashimotos Thyroiditis, and had to have my thyroid removed due to large nodules. With all that occurring and being prescribed new meds I started to gain the weight back. As of today I have gained most of the weight back-120 lbs. I am wanting to get back on track and try to lose it back and then some. Any tips or recommendations? Is it even possible to lose all of it back?

I'm still in pre op and my relatives and friends are trying to talk me out It. I hear the "you're not THAT BIG"; "are you going to stick to the plan"; "you could just do intermittent fasting"; "you're just so stuck on being small"; "just eat off smaller plate and exercise." I wish I'd told no one; lol. T hen when I don't talk about it; I get the "you haven't kept us updated on the process" smh We have to be strong and believe in ourselves. I tell myself "If I fail, if I succeed At least I'll live as I believe"...."at least I did it for me"; "at least I tried". Be strong

I have been intermittent fasting. I’m eating between 12-6 and that’s it. Also I’m eating mostly protein and absolutely no carbs. It I get hungry I eat few grapes and by few I mean 4.

Hello everyone! I had the gastric sleeve done in 2016. I lost a total of 140 lbs. I hit a stall and managed to keep myself at that amount. Fast forward to 2020. I was diagnosed with Fibromyalgia, Chronic Fatigue Syndrome, Hashimotos Thyroiditis, and had to have my thyroid removed due to large nodules. With all that occurring and being prescribed new meds I started to gain the weight back. As of today I have gained most of the weight back-120 lbs. I am wanting to get back on track and try to lose it back and then some. Any tips or recommendations? Is it even possible to lose all of it back?

Hey! I haven't logged on in so long and was also curious how everyone is doing too. Here's an update on my life over a year post op. Here is a photo of me way before my bypass, I think I wasn't at my heaviest yet but definitely pushing 320 lbs vs me last month while on vacation. I've lost about 130 lbs so far and am working on losing the last 9-10 lbs. I am finding this is when things are getting real. The honeymoon phase everyone talked about it over and I didn't even realize it until it was gone haha! It's not a bad thing, it just means that you can never give up, even after weight loss. Half of the battle is over, now it's a new battle and I think it will last for the rest of my life because I have to work hard every day to fight my obesity. I can eat pretty normally now. I aim for 1600-1700 cals a day but some days I might even get 1900 depending on how calorie dense my food is, then I tend to eat less calories the next day if that does happen. I walk 3-4 miles most days, gym 1-2 times a week and try to do some kind of outdoor activity on the weekend, usually hiking. I have been going slowly but I'm not unhappy with my progress. I'm just trying to watch my weight and enjoy how far I've come because I feel like a completely different person I can't even explain it... I am also able to eat more than 60 grams of protein a day now which is great because I lost a lot of muscle mass while losing all the weight after surgery. I eat 80-100 grams of protein a day. I am working on building my muscles back up, especially the muscles around my knees to help with my mobility (my being 340 lbs wrecked my knees). I am in physical therapy for my knees and do strength training with my boyfriend twice a week now. The thing I struggle with the most is tracking water but now that the summer is coming, I think it'll be easier to get in enough fluids since it's so hot where I live. I don't get food stuck anymore, very rarely if I've eaten too fast or food that is too hot will get stuck. I can still eat naughty foods in moderation too, too much sugar and fat makes me dump. Dumping for me means rapid heartbeat, dizzy, frequent urination, yawning, and nausea. I have been out of therapy for a while and would like to go back, especially as my ability to eat larger portions returns. I still actively have to think and fight using food as a coping mechanism but I am pretty hopeful and just keep reminding myself not to give up. How is everyone's vitamin levels and blood work? Anyone deficient in anything/have advice on what to get checked? I have gotten colds way more frequently but it's only been in the last 3 months, could just be the seasons but historically I rarely got sick.

as others have said, weight loss after revisions is almost always slower than after a virgin surgery. Plus you're starting at a lower BMI to boot (and starting BMI is another factor in how fast or slow the weight loss is). Honestly, even given that, you're still losing faster than most people who've had a revision (and even faster than some of us slow-pokes who had a virgin surgery!). You are doing great - I'd quit worrying about it. Stay if the scale if it's playing with your mind too much - maybe just weigh once a week or a couple of times a month. If the general trend is down, you're good.

A little backstory: I had a sleeve back in 2015. I went from 450 to 190. I kept it off for 5 years. Enter pandemic, job loss, and alcohol abuse. I gained 130 of the 240 back. My little sleeved stomach also grew and I was eating full size meals again and I developed severe GERD and a hiatal hernia. My esophagus was constantly sitting in acid and was scarring and narrowing and the hernia was so bad, food and pills were constantly getting stuck. Fast forward to the present, I had a revision to a gastric bypass to fix the GERD and hernia. Those things have been 100% resolved (thank goodness), but the weight hasn’t been flying off like it did with my sleeve. I lost 40 pounds my first month with the sleeve. An average of 1-2 pounds per day. Right now, with the bypass I’ve slowed down after exiting the liquid diet stage to where I’m losing .3-.5 pounds per day and loosing about 3-4 per week. I know I should be happy that I’m losing, but I’m disappointed that it’s not flying off like before. Especially because my activity level and calories burned is much higher than it was with my sleeve at this stage. I’ve gone in circles trying to wrap my head around it. I know I’m 8 years older (36 now) and I have developed chronic insomnia over the last year, so I only get 3-5 hours per night. I’m absorbing less, so maybe I’m in starvation mode? I’m at a loss Anyone have any encouragement or experience with this?

I lost at a rate of about 1kg per week, which is what I used to lose doing a "normal" diet before surgery. Compared to many others, I was a slow loser. You're doing absolutely fine. I've never heard of this 50% by 3 months either, and honestly I think a lot of folks go into WLS with unrealistic expectations of how fast they'll lose (either via misinformation online or by TV shows like My 600lb Life). So relax. Everything is normal. Stay off the scale and distract yourself with other things. Weighing yourself so frequently isn't helpful and when stalls hit (and they will), it's even less helpful.

You are loosing a lot, I never heard that 50% of your weight is lost in 3 months, but I know the first 3 months are the fastest. Slow and steady is best, your body has to adjust. You will definitely lose if you stay on track, you just might have to adjust your expectation of how fast.

Worried I am doing something wrong and looking for some insights. Had gastric bypass on 4/12 and over all feeling better each day. I am noticing my morning fasting blood glucose levels starting to climb. Was in the 90s in the hospital and now this morning at 124. Pre op was on trulicity 1.5 1x a week for type 2 diabetes. I still get very tired easy and am lightheaded most of the day. Have had some vision changes since surgery as well. Starting weight 231 - 4/20 today 224 which has not changed for 3 days post op weight 239 went up day after surgery and is now at 224 Started foods on Sunday with dr recommended : 3oz protein and half cup veggie2x a day or fruit 1x a day - every meal is measured and strict to guidelines. My surgeon does not allow any protein shakes or any processed food of any kind. drinking minimum 64oz water up to walking 1.5-2 miles per day

April 25th here... still powering through the 2 week preop liquid only diet... Tuesday can't get here fast enough. I made the mistake of eating half of a small salad (it's my birthday for goodness sake)... and I'm paying for it, bigtime. Back to the liquids... lesson learned

I like you felt hungry after surgery, and since I started working out hungrier sooner. Prior to surgery I was like that too, get full fast but hungry often. What I found has help is sticking to an eating schedule, your body gets used to it. I start feeling hungry about 30min or so prior to my eating time which reminds me to stop my fluids to eat. If its before then if i sip some protein shake that helps a lot. Sent from my SM-S916U1 using BariatricPal mobile app

Like the original poster, I was curious what happened with the "unused" part of the stomach. The part of the stomach sectioned off is in a 24/7 fasting state. It will never see food again in it's bypassed state. As for the pouch, yes. Vitamins are critical. I took them preop and will start chewables at my 2 week mark tomorrow. As well as my soft foods phase. I won't fast my new little stomach intentionally. Following doctor's orders all the way but I can't promise I won't try it down the road if need be.

My hunger was never suppressed either. The day I came home from the hospital my stomach was growling. Same thing, I would get full super fast and be hungry like an hour later. I was so afraid I wouldn't be successful because of how it started out, but less than 18 months later I've lost 140 pounds and hit my goal. You'll find the hunger gets less intense as time goes on, just pay close attention to your body's signals to make sure it doesn't turn into grazing. Focus on protein and water.

I haven't heard that, but who knows? It might be true. I know bypassers are susceptible to vitamin deficiencies, though, because of the malabsorption. That's why it's critical for us to keep on top of our supplements - the consequences of slacking off are more severe for us than they are for sleevers. EDITED TO ADD: I'm not really sure about fasting in general, though. I know the malabsorption the first few months is super strong - you malasorb calories in addition to nutrients. Unfortunately, the malabsorption of calories seems to go away after a year or two - whereas the malabsorption of nutrients stays. I had a 20 lb regain in year 3 (which is unfortunately very common - usually 10-20 lbs), and I currently struggle to keep my weight where it is, so the part of fasting where you lose weight isn't true - or at least not for me. But maybe he meant for the first year or two? Or was referring specifically to nutrients ? Not sure.

Correct me if I'm wrong but I recently heard a bariatric surgeon say that bypassing the stomach leaves it in a 24/7 fasting state. I'm big on all the benefits of fasting so knowing that fact was exciting to me. I'd love to hear a more in depth teaching on the subject along with reestablishing a healthy microbiome, setpoint etc. via surgery.

Yes this was me too, its miserable. You need to go to the emergency room or contact your team and see if you are dehydrated, if you are they will put you on a drip. There are other things that will eventually make you feel better. Biotin spray is brilliant for that awful dry mouth You need to get some anti nausea medication, I take 2 a day, it helped a lot You need to up your liquids everyday, even if its only a little, once you get to your quota, this helps you feel better. The iron in the multivitamin may make you nauseous, I dropped it from my regime. I have never put it back into my vitamin regime because I have never needed it to date. So if this worked for me, it is not proven, I would have tried anything, I was so miserable. We all keep the large amount of acid our stomachs that we had before surgery, this does not help with nausea. Sleep in a recliner if you have one. I didn't, so I put a large book under the top of my bed and bought a wedge pillow Your first bowel movement is a doozy and TMI ALERT, I had to resort to rubber gloves, others have had to go to the ER and let the nurses deal with it. Once you get more liquid and food in you will manage better, plus then you will be able to get some constipation meds. As this medication pulls water into your bowel you can not take it yet. It would make you more dehydrated. I hope you feel better fast

Oh sweetie don't be frustrated I too was going through those feelings but trust me everybody goes through similar feelings and issues. I was feeling bad because it seem like I wasn't losing enough pounds but you will then all of a sudden I started dropping pounds it will have its slow days sometimes you will seem to be losing a lot then it slows down but trust your body is experiencing all new things. It's very important that no matter what you drink your PROTEIN SHAKE FIRST EVERYDAY YOUR BODY NEEDS IT 100% .then if you want and can youcan have other foods on your list .I wakeup for breakfast I take my vitamins and have a protein drink and then 1 hour later if I feel like having something I make me a pakage of instant cream of wheat I use vanilla protein shake as my milk I can only eat mabe half of the sm pakage a drop a tiny spoon of butter taste good. And you should feel good till lunch .drink plenty of water im struggling with water intake but it's a big must so you won't be constipated so much I buy Splenda for sugar substitute it's so close to having real sugar no black teas ONLY HERBAL TEAS MAKE SURE YOU BUY EVERYTHING SUGAR FREE MO BREADS NO FLOUR PERIOD CORN BREAD ONLY YOU WILL START DROPPING WEIGHT MEMBER IT TOOK A LONG TIME TO GET WHERE YOU WEAR WITH GAINED WEIGHT IT WILL COME OFF JUST DO WHAT YOU MUST AND LISTEN TO YOUR DOCTORS INSTRUCTIONS YOU MIGHT NOT FEEL YOUR LOSING FAST ENOUGH YOU ARE BE EASY ON YOUR SELF OM HERE TO HELP ANSWER MOST THAT I CAN GOD BLESS GOOD LUCK ON YOUR NEW LIFE 😉 I

I'm having RNY May 1st. I start my pre-op diet Monday [emoji15] It's coming so fast, but I'm excited.

as far as losing 7 lbs in two weeks, that's actually pretty normal. I know a lot of people think we should be losing 30+ lbs the first month, but that's thanks to shows like "My 600 lb Life". Keep in mind that the people on that show start out MUCH heavier than most of us, so that kind of loss would be very unusual in more "normal" WLS patients. Most of us seem to lose somewhere in the 15-25 lb range the first month - and given that you started out at a lower weight than a lot of us, I would expect you'll be somewhere on the lower end of that range by month's end. I lost 16 lbs the first month, and I started out MUCH heavier than you (and starting BMI is one of the factors that affects your rate of weight loss - or at least early on). As long as you follow your plan and your overall trend is downward, despite the occasionally fluctuation or stall, you're golden. In the end, your success will be due to how compliant you are to the plan - not how fast or slow the weight comes off.

Don’t ‘only’ any of your weight loss. I always say every pound you lose. It doesn’t matter how fast or slow you lose because we all lose at the rate that right for us & our body. Yes, this is likely a stall. They’re a very normal & important part of your weight loss progress and you’ll likely experience more of them. It’s the time your body takes to come to terms with the changes that have occurred (weight loss, dietary changes, etc.) & when your body resets your metabolism & the hormones that manage your hunger, satiety, digestion, etc. Stick to your plan & you’ll notice the scale moving again … it just might take up to three weeks.

There is a significant decrease of ghrelin after RNY (statistically the same as vsg), and an increase in leptin (satiety). At one year post WLS, they observed an increase in fasting acylated ghrelin in both as well. https://pubmed.ncbi.nlm.nih.gov/31680051/

I totally understand what you are going through, and I'm with you in the frustration. I'm 8 months from surgery and I've stalled for the last three months. I've only lost around 20 kilos (44 pounds) and I'm still 15 kilos or 33 pounds from healthy weight. I can't believe this is all the result I will get from a very costly and difficult surgery. I'm halfway there, and I don't know how to jumpstart my weight loss. It seems to make little difference what I eat. I don't eat a lot. A typical day for me is 8-900 calories. I went on a week long trip this Easter and decided to eat whatever. I still didn't eat a lot at every meal, because I get full really easily, but I ate regular food and didn't write down calories. I normally use myfitnesspal, but skipped it this week. The result? I still weigh the same as I did three months ago. Now I've gone back to low carb and I've gained 100 grams. During my vacation, I walked a lot. Didn't make any difference. I haven't exercised as much as I wanted to, because I've had repeated injury, but I still try to move as much as possible. And I cannot fast during the week, because it makes me so tired and cranky, and I need energy for working with difficult teenagers. I'm at a loss what to do.

I had the sleeve don in 2010. I was lacto ovo vegetarian the whole time. I lost slowly for the first two rears, then started to gain. I employed 5-2 semi fasting program and lost to goal (90lbs) by year three. I maintained for less than a year, then slowly started to gain until around 2019 when i platoued at 20 lbs under my initial weight. Around that time i was diagnosed with breast cancer. I went to a “surviver clinic” run by my medical plan(Kaiser). They recommended i go whole food plant based to reduce most causes of premature death. I was motivated. That was 4 years ago. I am currently down 35 pounds from my high. I wish i had done this insted of surgery, because whole food plant based relies on eating a lot of food to work. I can eat quite abit now… i guess my stomach has stretched out quite a bit, but i still cant eat as much as i could before surgery. Check out nutritionfacts.org for lots of current research on nutrition, weight loss and health.

You are lucky you get to have non starchy veggies. I can only have liquid and it really hard. You get sick of the sweet shakes pretty fast