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Anti depressants are notorious for causing weight gain, often because appetite increases. Your doctor needs to check the anecdotal evidence about Trintellux. Maybe there is another med you could try? Weight gain In clinical studies, people who took Trintellix didn’t have a significant change in their weight. But after this drug was approved, some people taking Trintellix reported weight gain while taking the drug. https://www.medicalnewstoday.com/articles/trintellix#side-effects My GP increased my HRT 6 months ago & I gained a couple of kgs pretty quickly (& started getting random pimples too - WTF?). I also was increasing my protein intake & I blamed that at first. I cut out some things from I ate, added a little more activity but no change to my weight. Now, I’m putting 90% of the blame on the HRT. But what do you do? Symptoms or some extra kg. Don’t let it demoralise you. You’ve done so well with your weight loss. All the best.

I am 8 weeks post op and have lost 35 lbs so far. I started exercising last Monday. I have gained 3 lbs since then. What the hell?! It was literally overnight. Anyone have this happen? I had the lapband with plication and no fills yet.

hello all PCOS is a chemical or hormone imbalance,which can make it very difficult for sufferers to lose weight. Your body can be insulin resistant and unable to process certain sugars or carbohydrate foods. Your diet should be based on low-sugar, low-carbohydrate, low-fat and Protein, but be rich in B Vitamins in order for you to be successful. Some PCOS sufferers have to take medication which, after a period of time, can deplete the body of B vitamins. It is important that you get a well-balanced diet, rich in all vitamins, particularly, B. Doctors recognise that PCOS sufferers have a slower metabolism than non-sufferers, and recommend a personal diet be prepared to suit your individual metabolism. 30% of PCOS sufferers can also be carbohydrate sensitive and need a personal low-carbohydrate, low-sugar, low-fat, protein diet preparing, to help them lose weight successfully. In our experience we have found that standard diets do not work for PCOS sufferers. Will my PCOS symptoms reduce if I lose weight or eat healthily? Yes, if you need to lose weight, please do so and your symptoms can be reduced. Eating healthily will always be of benefit to your health. Our research has shown that PCOS sufferers with a weight problem, who lose 24 lbs or more, find that their PCOS symptoms can start to reduce. Because of your PCOS, there are certain foods that your body cannot tolerate. When you eat these foods, your body cannot handle them, so a signal is sent to your brain that you have not eaten, hence the feeling to eat more. If you eat healthily, avoiding all the non-permitted foods, you will feel so much better and will not be hungry. Having home-made Soups and splitting your meals into small ones will help satisfy the hunger. You can always eat a little extra protein to satisfy the hunger The polycystic ovary contains many small cysts 2 – 6 mm in diameter. In the past, it was diagnosed during surgery when the ovary could be seen. Now, an ultrasound examination can reveal the polycystic nature of an ovary. Since using ultrasound, polycystic ovaries have been observed in 25% of normal women. Hence, it is important to distinguish the findings of polycystic ovaries and PCOS. Polycystic ovaries are a common finding in patients with PCOS, but do not define the condition. For example, a running nose is a common finding of a cold, but does not mean that a person with a running nose has a cold. Other conditions can cause one’s nose to run, such as allergies, sniffing pepper, crying, etc. An individual with a cold can present with a multitude of symptoms. Women with PCOS also present with a variety of symptoms. Polycystic ovaries are merely one feature of the polycystic ovarian syndrome. The syndrome is a result of a functional hormonal disorder that disrupts normal ovarian function. It is best thought of as an imbalance of hormones that control the ovary’s ability to mature and release an egg. Normally, the pituitary gland in the center of the brain releases follicle stimulating hormone (FSH) which travels through the blood stream to the ovaries telling them to mature or "grow" an egg. An ovary complies by stimulating a follicle’s growth. A follicle is a cyst containing an egg and many "nursing" granulosa cells. The follicle begins as a small cyst less than 2 - 6 mm in diameter. As it matures, the follicle fills with Fluid until it measures over 20 mm in diameter. This takes approximately 14 days. This time frame is called the follicular phase of the menstrual cycle. Once mature, the follicle sends back a signal to the brain indicating it is ready for ovulation. The pituitary gland then sends out a pulse of luteinizing hormone (LH), telling the ovary to release or ovulate the egg. The follicle ruptures (i.e the cyst pops) releasing the egg to the surface of the ovary where the fallopian tube should pick it up. PCOS occurs when the hormonal signals are not carried through. Thus, follicles do not grow and release the egg, but instead stay small 2 – 6 mm in diameter each month. Over time, these small follicles build up resulting in an ovary packed with multiple small cysts. The reason why the ovary fails to respond to the FSH is not well understood. It is believed that there are elevated "resistance factors" that inhibit the ovaries ability to function normally. Some of these resistance factors are the androgens and insulin-like growth factors. These hormones raise the threshold at which the ovary will respond to FSH. If the FSH does not reach that threshold, the follicles become stalled in the early part of growth. The ovary stays in a steady-state of no ovulation which is the hallmark of PCOS. These resistance factors are manifested in other areas of the body. Androgens in the skin cause hirsutism or male-type distribution of hair growth on the face, chest and abdomen. Increased activity in the oil gland of the hair follicle may also result in oily skin and acne. Nearly 70% of patients with PCOS have some degree of insulin resistance. Insulin is a hormone released into the blood stream by the pancreas. It works to drive blood glucose into cells . Insulin resistance means that more insulin is needed to achieve the same result as a person without PCOS. Patients with type II diabetes have the same condition. Indeed, PCOS patients are at a higher risk of developing type II diabetes. The reason for this insulin resistance is an intense area of research. Currently, it is believed to be related to an inherent defect within the cells signaling mechanism to allow glucose to come into the cell. Due to the cellular resistance, PCOS patients have elevated levels of insulin and/or insulin-like growth factors which can then adversely affect the ovary. In addition, insulin promotes growth or body mass/weight retention. Because of this, PCOS patients have a very difficult time losing weight regardless of how much they exercise and diet. Excess body weight and obesity are commonly known stimulants to both elevated androgen levels and insulin resistance. Since insulin resistance results in elevated insulin levels which then promote further weight gain, an overweight individual becomes trapped in a viscious cycle. The more weight she gains, the worse the condition becomes. All the symptoms of PCOS, including hirsutism, anovulation and difficulty losing weight become more difficult to reverse. Consequently, excess weight can exacerbate PCOS and in some individuals can even be the sole cause of the condition. good luck Cherie

I have trouble remembering to take pills, so my DR recommended Nuva Ring. I've been using it for two months & love it! I have not had any weight gain or swelling.

I stopped taking my birth control a month before surgery and haven't needed to restart it. However, my period has been really heavy and I am thinking about going back on it. Has been on the pill affected your weight loss at all? I know it can sometimes cause weight gain.

Ditto here took mine the same night after surgery. i take Ortho-cyclen and it's smaller than a tic tac ! For what my GYN has said the pill will only increase weight gain in some individuals by just 3.5 lbs. If you're swelling up then its water retention and you need to drink, drink, drink water.

I know that my surgeon said it is normal to gain at first. When a body is injured it collects fluid and that is notorious weight gain. I believe one gal of water weighs about eight pounds.

Ok, so I have decided to see how far I could go without throwing up and I feel like a bottomless pit. I was banded Nov. 15 and am going back for my 1st fill next week. I lost 15 lbs but have gained 6 of it back. It's x-mas time and I am having a hard time of it. I can eat a lot more that 1/2 cup of chicken. I guess the hardest thing for me to do is not drink anything until an hour after eating. Does anyone else have problems with this? I am getting discouraged.

(continued) Weight maintenance: YES, YOU CAN GAIN WEIGHT AFTER THE VSG! BUT YOU DON'T HAVE TO! About two years out, I noticed that I could no longer truly eat anything I want at every single meal even if I did work out quite intensely. Mind you, we are talking eating out constantly, Desserts, etc. I also became more performance-oriented, so I started to think more about fueling my body for exercise. Recently, I had a severe back injury that left me unable to exercise at all except walking for 9 months. I was also having major sleep issues due to pain and work stress and was away from my husband and very socially isolated and unhappy for a variety of work-related reasons. I love to cook and was certainly amusing myself by cooking lots. Normally, my husband would inhale most of my creations, but now I found myself eating less healthy and in greater quantities. Together with hardly any activity, this led to a weight gain of about 13 lbs in 9 months. Not the end of the world, but I was certainly worried! Thankfully, I buckled up and once I was cleared to start exercising, I restarted couch-to-5K and then signed up for a 10K race. I lost the 13 lbs in about 2-3 months with only minor diet changes - basically, eating less crap and more fruits and vegetables. I still ate some sort of treat almost every day. I didn't follow any specific diet plan like low-carb or keto, although I do try to limit my carb intake that doesn't come from fruits and vegetables. I am now closely monitoring my diet as I want to get as ripped as possible since I have lipo coming up and will be away from the gym again for at least 4, potentially 6 weeks. I eat whatever I want within reason, but I count my macronutrients, so every day I eat a certain amount of Protein, carbs, and fat. I eat a fairly high-protein diet - 120-150 grams. I have had no problem losing fat on this plan while eating 2500-3000 calories a day depending on my exercise level. SO YES, YOU CAN GAIN WEIGHT - BUT YOU CAN ALSO LOSE IT, AND YOU WILL ALWAYS REMAIN IN CONTROL! DON'T LET YOURSELF GO TOO MUCH! IT'S NOT HARD TO LOSE 5-10 LBS, BUT 25+ IS A PAIN! LAST BUT NOT LEAST: PHOTOS All these photos were taken within the last week. These are my pre-op photos:

I have BCBS and I didn't have to do a 6 month supervised diet. I saw my primary doctor for my annual visit on 5/11/10...upset with my weight gain over the past year. I went to 3 seminars (various doctors) within a week. I met my surgeon on 6/2/10 (consult) and had my surgery on 8/16/10; 2 months and 2 weeks from once I decided on my surgeon. Maybe you can ask that they submit the paperwork and see what happens. I know my doctor's office submitted my paperwork on a Monday and they received word that I was approved the next day for surgery within 5 days. I asked them to push my date back because I wanted to met with the dietrician one last time and get some things squared away at work. Good luck!

I weigh once a week. Period. And FWIW, here's how jacked up it can be: surgery day: 245, 1-week follow up: 232, 2 weeks post: 235. Am I concerned about that weight gain? Not a bit! I went from about 100 -200 calories a day after surgery to 800-1000 a day this second week. That 232 was partially water. It was like getting the flu. This is a marathon, not a sprint. "Finishing the race " (weighing a healthy weight) is what matters, not how fast it's done.

Hi: Stuff the addiction nonsense. There is an article out today that British Gene hunters have found two very strong DNA genes that are markers for fat. Quote: The researchers first identified the gene FTO in the DNA of people with diabeties type 2 etc. They were surprised to find the marker was associated with increased body fat as measured by the BMI rather than insulin production so they scoured other DNA databases to see if the gene predisposed a person to obesity.In reviewing the genetics of some 39,000 people they found that individuals with one variant of the gene had a 30 percent higher risk of being obese than people without it........................on and on. At last we are getting scientific information out that takes us out of the freak show, addiction blame, etc and puts us squarely in the normal range depending on our genes. With the constant abuse from the media, school chumps, family enter pyschological damage and you have dynomite combination to weight gain. Plus the excellent documentary called "FAT" on PBS E we may actually start getting some support. In the meantime, I "weight" for noone as I struggle on my journey. Doddie

Not at first. Right after surgery, I had to force myself to eat. I can still remember my Dr G telling me over and over again "you must eat!" (Smile) Later on, yes, I made sure to only feed my body with healthy foods to avoid weight gain. Also, with my tiny tummy and the compression garment on, it was hard to hold much food anyway. I knew it was more important for me to heal first before exercising. 9 months after my plastic surgery, on March 1, 2014, I ran my first 15K marathon. You see, exercise will always be available, but after plastic surgery, give your body time to heal. Trust me, time will pass, and you will be back to exercising in no time. Sweet Pee

I weigh once a week. Period. And FWIW, here's how jacked up it can be: surgery day: 245, 1-week follow up: 232, 2 weeks post: 235. Am I concerned about that weight gain? Not a bit! I went from about 100 -200 calories a day after surgery to 800-1000 a day this second week. That 232 was partially water. It was like getting the flu. This is a marathon, not a sprint. "Finishing the race " (weighing a healthy weight) is what matters, not how fast it's done.

Hey guy, Glad to have found this forum. I have my date scheduled for the 10th of Feb and I'm wondering how much weight people gained before going on the pre op diet. I am definetly saying "goodbye" to some foods, pizza specifically. Did anyone else have a farewell tour?

i agree with the last reply whats done is done.... but the weight gain i dont. anytime you have surgery you are going to swell and you are going to gain weight even if you didnt eat a lb because your body went through a surgery the weight will come off in about two weeks maybe less depending on the swelling. its normal to gain weight. i gained like 13 lbs after having a tt and a breast lift within two weeks or so i dropped back down to what i was pre op. so don't stress so much it will only make it worse. in the mean time heal and get some rest..

When I was young around 40 years ago, I began to walk for the exercise and also in order to loose a little weight. Every day I added a little more distance. Finally I worked myself up to 10 miles per day. It would take me a couple hours to do it. But instead of losing weight I began to gain weight. So I stopped. (Actually my weight gain was a healthy weight gain, I was converting fat into muscle. But I didn't know that at the time.) It might be that you have set an unrealistic goal. I never set a goal for WLS (Weight Loss Surgery) and I was pleasantly surprised by the results. The problem may also lie in the composition of what you are eating. I took the approach of integrating Protein in my meals so that I could reduce the amount of protein I obtained in my supplements. I opted for homemade high protein Soups and chili. I have included some recipes in the following: http://www.breadandbutterscience.com/Surgery.pdf For me WLS was not so much about losing weight, it was more about stopping many of my medical conditions. When these conditions went into remission, I was happy. I had a discussion with my nutritionist a few months ago. We discussed "Why people who have lost weight due to WLS would sometimes gain it back?" She said the answer lies in the Snacks. Individuals who snack in-between meals can gain the weight back. So maintenance needs to bring that problem under control.

Thank you! Not far enough along to tell our friends yet, so it feels nice being able to tell all you sleevers here and know someone understands how I feel about the weight gain.

Will the dietitian clear and approve to move forward if I have gained weight? details below... pardon the lack of punctuation, I am on my phone I have my final visit with the dietitian this week. I was doing so well until the mental health professionals threw a wretch and sent me way off track (long story short, I was a victim of childhood abuse and sexual abuse while in college... it pretty much was a how can someone go threw this and hold their life together and said I couldn’t do the surgery because I “needed” there help because well how Can I live when something like that happened) I stood up for myself and yes, the things I have been threw was terrible but I am a stronger being because of it. After the assault, I gained a lot of weight, by a lot I mean like 70lbs in a few short months... then continually climbed due to the depression that had set in. Wanting to have the surgery in the first place is to take back that part of my life. In doing so, I went off track and back to depression. My view was that since I was abused, that is the only thing I will ever be so why bother mentality... anyone had a similar situation?

http://healthland.ti...etic/?hpt=hp_t3 New Genes IDd in Obesity: How Much of Weight is Genetic? By Alexandra Sifferlin @acsifferlin July 19, 2013 Two studies zero in on DNA-based drivers of weight. Is obesity written in our genes? In two separate papers, published in the journal Science and in the Journal of Clinical Investigation (JCI), researchers describe new genetic factors that could explain weight gain in some people. In the Science study, researchers at Boston Children’s Hospital studying mice found a rare genetic mutation that prevented the animals from burning off fat calories. They also found the same gene was mutated in a group of obese people. And a team based at University College London reported in JCI that a specific form of a gene previously linked to obesity, FTO, can increase craving for high-fat foods. The discoveries add to the growing body of knowledge about the biology behind weight, and the results confirm that while it’s represented by a single number, weight is the complex combination of a multitude of different metabolic processes, from brain systems that regulate appetite to enzymes that control how efficiently calories are turned from food into energy that the body needs. Making matters even more confusing, these factors are also likely influenced by environmental contributors such as diet and lifestyle. In the mouse study, the research team determined that mutations in the Mrap2 gene led the animals to eat less initially but still gain about twice as much weight as they normally would. While their appetites returned, these mice continued to gain weight despite being fed the same number of calories as a group of control animals. That led the scientists to figure out that the mice with the mutated gene were simply sequestering fat rather than breaking it down for energy. The mice, like people, possessed two copies of the gene, and mice with even one defective copy experienced significant weight gain, although not as much as those who had two mutated versions of Mrap2. The scientists found a similar pattern among a group of 500 obese people; they detected four mutations in the human version of Mrap2, and each of the obese individuals possessed only one bad version of the gene. In the British study, the researchers divided a group of 359 healthy men of normal weight by their FTO gene status. The majority of the men had low-risk versions of the gene, while 45 of the participants had mutations that have been linked to greater appetite and caloric consumption. To figure out how the altered genes were affecting appetite, the team measured levels of the hunger hormone ghrelin both before and after meals that the participants ate; the men with the mutated form of FTO did not show the same drop in ghrelin levels, signifying that they were full, as the men with the low-risk form of FTO. Genome wide association studies, which compare genetic makeups of obese individuals to those of normal weight, are making it easier to flesh out important genetic factors contributing to weight, and researchers at the Harvard School of Public Health say that to date, these studies have identified over 30 candidate genes on 12 chromosomes associated with body mass index. “Thus far mutations in about eight genes are known to cause obesity in humans. But these mutations account for under five percent of the obesity in our society, and certainly are not, by themselves, responsible for the current obesity epidemic, since the mutation rate in these genes could not have changed dramatically during the past twenty years,” says Dr. Joseph Majzoub, the chief of the division of endocrinology at Boston Children’s Hospital and an author on the Science paper. “However, mutations in these genes have led to the discovery of pathways that are important in energy balance in humans, giving us hope that drugs can be developed that affect these pathways to prevent excessive weight gain, either by curbing appetite or increased burning of calories.” Here is a round-up of some recent genes, and their products, that have been linked to obesity : Leptin: Often referred to as the “obesity hormone,” leptin is made by fat cells and acts as a thermostat for the body’s energy needs. Each individual has his own leptin threshold; if leptin levels fall below that amount, the brain understands that the body is starving, and needs more calories. If leptin levels are maintained or surge above that amount, the brain knows that it doesn’t need to take in more food. Unfortunately, while mouse studies showed that overweight mice had lower levels of leptin, the same wasn’t true of obese people, who generally show higher levels of leptin in their blood. Somehow, researchers how believe, these people are not getting the signal to stop eating, which is referred to as leptin-resistance. Ghrelin: This gene makes an appetite hormone that can make foods look more desirable–especially high-calorie ones — by influencing the brain’s reward system. Some studies have found that people who are sleep-deprived have increased ghrelin levels, which may explain why lack of sleep can contribute to weight gain. Neuropeptide Y: One of the brain’s many chemicals, neuropeptide Y may trigger eating by manipulating appetite, possibly resulting from changes in mood and stress levels. It may also contribute to an increased deposition of fat from food calories.

Wow, Lisa......I'm so sorry about your heart issues. And that you had an attack during childbirth! You are already coming into this with some serious potential issues, so you do need to make sure that you're not jumping from the pot into the fire. Though there are no guarantees either way, there is something reactive going on in your body, so you need to be SUPER careful. And I agree, no, I do not think that ALL issues are weight related. Weight does put a strain on so many things and causes other health issues, but it's not EVERYthing. I've done so much research on this; pre-surgery and now looking at a revision. With the bypass, the biggest (common) food issue is sugar. If you have a sweet tooth and eat a lot of it, you might get very sick (dumping). My next door neighbor had a bypass many years ago, and though she tolerates just about everything, certain things are hard for her to eat.......like popcorn. I guess everyone has to find their own balance once the surgery is done and we're back on regular food. As for the sleeve, if reflux is or has even been an issue, the sleeve isn't a good option. Reflux gets worse, and even those who never had it, get it. For me, there isn't enough long term data on that procedure, and I'm always afraid of the possible leakage from the staples. Though it doesn't happen often, if it does, you can be in the hospital for several weeks/months. I'm self employed, so that would pretty much put me right out of business. Since the bypass has been the gold standard for many years, I guess I'm just more comfortable with it. I've also heard that revisions don't lose weight as quickly/easily as "surgical virgins". I've heard this with both the bypass and sleeve. People lose, but it's a different experience over first timers. I think for you, given what you've said about your history, it might be a good idea for you to see your cardiologist to discuss. The heart issue is concerning and I'd want his/her take on putting your body through another bariatric surgery. This is serious stuff! But with that aside, you have to ask yourself the questions we always have to ask..... Will your weight continue to climb if you don't have surgical intervention? Though weight isn't the beginning and end all, I can tell you......as you get older, the health issues increase. From my 30 pound weight gain, I'm back on blood pressure meds. I had knee surgery in March and my knees are still painful. Ultimately, I will have knee replacement, but that is something I won't do unless my weight is down. The artificial joints have about a 15 year life, but with extra weight, even less. If I keep gaining weight, I'll probably end up with pre-diabetes/diabetes. When I was younger, all I cared about was how I looked. Now, it's all about the way I feel and staying healthy. No, I'm not thrilled seeing the extra weight come back on, but feel worse physically and have other health issues that are exacerbated by the extra stress on my body. You question about possible rejection to the sleeve is a good question. Honestly, because once the stomach is gone, what then? The bypass can be reversed, though I don't think it's as simple as removing a band. My doctor said he does about 4 reversals a year. He also said that band revisions are now about 20% of his practice. He rarely places them anymore; it's old technology. He seems to prefer the bypass over anything else. I will think of other questions, too. My doctor told me that I worry too much about things I don't need to worry about. Easy for him to say! Surgeons.....nothing is a big deal to them. But it is to me/us

I am at work and read through this post really fast and I have PMS and am easily ticked off... so bare with me if I make an a** out of myself. One thing I have learned is to listen to people I trust that are in the field. When I started investigating plastic surgeons, I asked my very trusted lap band surgeon who HE recommended because he knows a hell of a lot more about it than any friend, husband, etc. LISTEN TO YOUR FRIEND. Do not be in such a hurry that you have surgery with an innexperienced surgeon just because you can't wait. All the follow up in the world won't help if your band isn't properly placed in the beginning. My guess is that if you talk to the surgeon's office that your friend suggested he may have relationships with follow up care offices in your area. As for your husband saying he won't give you the money to have the surgery if you don't go to a different doctor- why the hell is he in charge of what you do with your body? Man, he is in for a rude awakening when you get the band, lose weight, gain some self esteem and kick his condescending, controlling butt to the curb. This your body. Your life. Your band future. Megan

Hey guys! So I have yet to get lap band, but I am really interested in getting it. I have looked into a few times and each time I think to myself that I can just lose the weight myself by dieting and working out alone. I think I am finally ready to take the first step and talk to a doctor about getting this procedure done. I’m 20 years old 285 lbs. have awful asthma as well as lower back pains and knee pain. I know I need to do something about this issue while am young. I am hoping that I can get some real information from people who have had this done! I know the basic information that you read online, but what are some of the things that you experienced pre and post op? “(examples: hunger, food you can eat, can’t eat, exercises and when you can start exercising, pain, weight loss and then weight gain, rapid weight loss and extra skin..) I am hoping to gather as much information for myself so that I can better prepare myself…. Also…are any of picky eaters? If so did you find that to be an issue for you after the surgery? Really any information would be great! -Heather

I ,too, am having fill issues. I had my 6th fill last Wed, thought it was going to be good because when I ate soup it made all of the grumblings that I hadn't heard in months! However, two days later on solids.....NO restriction! I am a self pay and each fill is $200.......YOUCH! That can eat a paycheck quickly! So, I dunno....calling fill doc on Friday to make a fill. However, I think I will set it up after vacation! :cool2: Right now, I have been drinking Slim Fast twice a day to try and ward off any weight gain. Any helpful hints/comments would be greatly appreciated! Oh, I haven't had any good restriction in about 2-2.5 months...

Am I the only one that is going through weight loss/weight gain in cycles around my monthly adjustments? Is it a first few months thing or is it something I am doing? I have lost 60 lbs so far and when I get an adjustment, I do really well, though I really have never felt much restriction. I keep hoping the doc will get aggressive since I have had no issues with vomiting or even coming close. Does all this eventually level out?