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Hi meimei. I'm in the same boat as you with the RA. There was research done that shows Bariatric surgery has a positive effect on people with RA. I was diagnosed 9 years ago- right after I turned 40. Went through every drug they had. Finally got some relief from Actemra. Get infused with that in addition to my methotrexate shots weekly along with plaquenil. My weight gain was mostly due to being on 60-80 mg daily of prednisone for 6 years. The worst best drug out there. It was the only thing that allowed me any mobility while trying to find something that helped me. I even ended up allergic to Orencia! That was lovely lol. So between lack of movement and the pred- boom! Obese. Funny thing- I was completely flaring prior to surgery and assumed it would be more of the same after. Not! I've been hitting anywhere from 3-5 miles walking a day. Who knew? I'm not allowed to resume methotrexate or Actemra until 30 days out. Kind of wondering if I will? I suppose the best bet is to have some blood work done to check disease activity level. I don't want to go two steps back, but heck- the thought of no RA meds is certainly appealing!!!!

Hi Skip, I hear your desperation & I can clearly remember feeling desperate, w/ no choices left yet scared to do the WLS. What if it does not work, what if I gain it back, what if I wreck a perfectly good body part...... Like I said I was at my wits end, I had tried & tried over the years to diet, I'd lose some weight, gain it back & more. I am now 9 months postop & 110 lbs less. I am light on my feet, I go up stairs and am not out of breath. I put my tennis shoes on w/out dreading it. I do not worry about fitting in a chair or walking in a room. I go to support groups, work on my mental addiction, talk honestly with others. I do water aerobics 4 times a week, lift some weights, walk my dog. Summer has arrived, I am now on my bike. The exercise caused me to have consistent weight loss of 10 lbs every month, more in the beginning. The surgery made it possible for me to not give up, I ABSOLUTLY could not eat more than the 1/4 c, them up to a 1/2 cup and I stayed at a 1/2c per meal for a long time and overall I was satisfied. Now I can eat 1c & a little more. I am much much happier but I still have the same personality, I can get depressed for no good reason, I overdo it & become exhausted (but I had a lot of fun before I got exhausted). I do real well w/ my liquid & protein most of the time. Vitamins too. This is my story of commitment so far with this surgery, without this my story would be my old story, I tried, I got too hungry, I ate, I gave up. My doctor told me I was not a loser, he says we just get too hungry & it takes too long without this surgery. God Speed to YOU, your doctor & your wife. Your life is going to change, follow ALL the rules!!!!!

:thumbup:: Yours truly, has never blogged but has decided to do it to stay on track, TWO years ago, I had the lap band put into me. I lost so quick and was on track (very happy camper...lol). I went for my mamo and they told me that I had cancer..well the running around and the depression you feel is indescribable. At the time from the pressure, I started having some real health issues and my child needed me desperately to advocate for him in school. omg...it turned out that running for tests..showed that I had cancer...then the fools tried to take a biopsy and then they could not find it... then they take another xray..there is the cancer...then they get the surgeon.. he makes the hospital pre-op tests..then he gets looks at the tests...get a MRi ...great I am clastophobic...soooooo...I find an open MRI..wait again months for appointment..scared to death...and they can not get the color dye in me because my viens did not work..so the DR from that MRI came in and said..YOUR VAINS are the pits and we cannot do this...but I will personally review your xrays and have other doctors look...he at least said ..months of not knowing could kill a person..thanked him... a few days later he told the surgeon ..no way did I have cancer. MY has made me take the mamo again 6 months later...and when he saw that I was really in distress (go to his office and they can not find my mamos) he did his checking allowing sit in a chair, I think I upset him when he saw how much they had tortured me (it was the months of not knowing) BUT he knew since he had seen me so much at the hospital that I had gained some of the weight that I had so proudly LOST Well, I always did eat the little amounts but did stretch my stomach with large drinks and did NOT have the time or desire to exercise. At time during this period of life, I did forget to eat BUT worse is not to drink the water. Finally, I saw myself in a full mirror at the mall and was shocked to see me and my friend following me (:scared2:my boodie :sad: ) SSSSSSSOOOOOOOOOOOO:thumbup: I called my surgeon and went back for a fill. Thank god my lap band did not slip (tested) and already have lost five pounds. I would have gone back earlier:thumbup: BUT SIL made me feel very ashamed :thumbup: since I have been back...and filled...I realise that I did come back with some weight gain but I probably (honestly :sneaky: could have been 400 lbs) so now I am really happy and hang up on my SIL who is a nut :tongue: I am glad that I am back and can not weight to see and enjoy being without that extra fluff. I will see my Dr. Pucci on the 18th of September and pray that I will be down to 275lbs. I did invest in the QVC Dvds by Richard Simmons but will restart them today after handing out our temples telephone directories to members. I also was told to keep a log of what is going in:drool: the nutritionist said that I needed 65-70 grams of protein. Wish me a successful day :biggrin: Laura

i bought this protein powder at GNC a week and a half ago. it is multi fractionated whey isolate complex. i drink only one scoop a day of it. i don't do the recommened two scoops. anyway, it taste great but is pricey. i don't plan on buying it again but i was wondering if anyone has used it and does it cause weight gain? i have gained 3 pounds in a week and it is the only thing i have done differently. just wondering if it could be the powder. i mix it with skim milk. i make and drink 2 cups of it mixed with the milk and 1 cup ice. and i just had my 3rd fill and still healing from that and i have still managed to put on weight even though i have been eating less. but getting in 1300 calories a day. not sure what i am doing wrong. help..... getting down and out about it....i was banded 11-30-2007 and have lost 33 pounds. is this slow for the band? guess i just need some support and suggestions from those who know how it feels...

Everyone's pattern is different but almost everybody experiences a pause early out. A stall is three or more weeks at the same weight with no movement. And those happen for most people, too. In fact, my pattern was to stay at one weight, gain during my cycle and to only lose weight in the last week of the month! I also had two nine week stalls along the slow and poky 17 month journey to goal. The best thing to do is recognize they happen and keep doing what you've been doing. Trust me, you're way too fresh from surgery to be experiencing a genuine stall. Your body is just in shock and is recovering. Once it figures out that you're going to keep on eating and everything is okay, you'll go back to losing. Good luck and congrats on that sleeve. And do put that scale away. We want to see results every time because we underwent a drastic procedure and we're excited to succeed. But daily weighing in the loss phase can be frustrating and disappointing. There are too many variables that affect your weight and seeing a loss every single time just isn't possible. If it starts to frustrate you or ruin your day, put it away. ~Cheri

This picture is the reason for my weight gain. Five surgeries in two years, 9 consecutive months in a long arm cast and months of rehab. I had my wrist fused and my ulna shortened. All from bench pressing. Needless to say I was very depressed and food became my drug. I don't think I'll ever be able to lift weights ever again like I used to. No more 405lb. bench for reps. But I am looking forward to having abs again, running 4 miles a day. Mt biking. I just love life again and it feels good to have the reigns again.

If I may weigh in... The breakthrough bleeding will happen no matter what bc you're on, bc losing a ton of weight so quickly does crazy things to your body & hormone levels. It was the most frustrating part of this process for me. I tried to get my dr to put me on depo & she used the "weight gain" deterrent. Honestly, after this long, & all my stalls & losses...I just still cannot see how it could affect weight so much. I was on it after my 2nd son was born & gained a TON of weight (80# or so). BUT I certainly wasn't eating like a Sleever, nor was I exercising or even eating healthy foods. Honestly, when I go back for my annual physical in April, I'm going to have her put me back on it bc I keep forgetting pills! Oiy!

Another March 3rd here, Cammy C. You've probably gained weight from the IV meds, the gas that was used during your surgery, this is how my surgeon explained the temporary weight gain that would happen. I'm thankful that you are able to hydrate and at normal levels. My experience has been very similar to Mooki's, I was miserable the first 2 days. We've got this together, keep posting and working through the newness of our tools.

That's interesting. Sometimes I feel sorry for my body and all that I have put it through with the weight gain and surgery. We put ourselves through so much with our weight gain, and then even our tool to fix it makes us feel strange.

Tamg26k that's a good idea for a St Louis chapter for those post and pre op- it's great to read experiences but I have very little support here. Luckily my mom is slowly starting to be on board-but she's never had a weight problem-she's complaining of weight gain in her 60's and she's a size 8- LOL! I'm not sure what area would be convenient for people or what day (like maybe a Sat meet after the holidays for the StL peeps!

I agree with a lot of what's been said on this topic but this is a WLS support forum and everyone is entitled to rant and/or ask questions. A lot of the more recent surgery patients just want to make comparisons I think so that may be the reason for some of the questions that we may find silly or uninformed. Either way, we're here to support one another so I try to stay on a positive note because in the real world people are not so supportive. They dog you for your weight gain and then find WLS repulsive. You can't make some people happy so folks come here in hopes of finding understanding "friends and supporters" that will help them along this path of uncertainty. Weight loss is not easy, even with the surgery , and the diet gets old so I can understand the rants and questions about eating and drinking things they shouldn't. Just remember....... Just because we can doesn't mean we should. Follow the doctor's orders.

definitely you are too tight...go in and have them take a little out and see if that helps. I am on my 2nd round of being too tight and had the same feelings. (I let mine go too long and had swelled so bad from it had to have a complete unfill for a month again...aarrgghh...so am trying to maintain the weight gain as much as possible but it is hard being back to square 1 again) If you feel that lump in your throat etc...it is because you are too tight and the food is sitting on the top of your band not going thru. A slight unfill should help as you dont want food sitting there. Eventually it will lead to "acid" type issues which can be dangerous too.

Hi! I'm new here but I can attest for the weight gain. I had RNY in Feb 2004 starting weight was 320 and lost down to 190. Well, slowly but surely, I gained weight and began taking up bad habits and not exercising and ended up back to 274. I went to my surgeon and was able to have a revision on 6/28/12..... So I am starting this journey again and for the last time. It isn't easy and I am scared sometimes afraid it won't work or I won't lose anything. I'm trying very hard. I'm glad I found this group because I will need lots of support.

Please know, diabetes being gone instantly does not happen for all RNY patients. In very well may go into remission over time but there is no guarantee. About 75% see the diabetes go into remission. Do not expect it to be gone instantly. If your doc is promising this, he is misleading you. Also, it is not cured. It will come back with weight gain. Regain is rather common so, a true diet change for life is needed. Below is a link to an article. It states only 30% of diabetic patients leave the hospital with no medication but, it could resolve within days to weeks. It does take months for some patients as well, however. My sister, for example took about 9 months to come off all meds. The time you have had it and the severity of it both are factors in determining when and if it will resolve. http://onlinelibrary.wiley.com/doi/10.1111/j.1467-789X.2010.00802.x/full

I guess I look at my overweight being that I was always more willing to take the easy route and that led me to more weight gain. Even at my thinnest, I was still looking for an easy way to cheat the system. My cheating and falling for the easy way led me to gaining even more weight over the years. I will be honest and tell you, I am also one who chose not to tell many people about my WLS. I chose only a few people I knew would hold me accountable as well as give me positive feedback on choices I make for my new life ahead of me. I have a very encouraging group of honest friends and family that I trust will not share my journey, as for the rest, I will not lie, I will tell them I have decided to make better food choices and exercise more! You are right! There are so many people that will snub their noses at you for the mere fact of thinking of having a WLS, but the way I look at it is "It's not taking the easy way out"! I once read a book with a terrific truth to those who say by having WLS you are just taking the easy route. NO, there is nothing easy about preperation for the surgery, having the surgery, nor life after the surgery. I can say there are times that because we eat less and have been encouraged to exercise more the weight will come off faster but there isn't anything easy about it. The book made a suggestive: When there is negative feedback, or derrogotory comments, remind those by asking; "Do you still go out back and beat your laundry with rocks to wash?" "Do you have still hand wash all your dishes?" "Do you still hang your clothes out to dry?" I am quite positive the answer to at least two of these questions is NO. Well, does that mean they took the easy route out? NO, they found a more efficeint way to wash clothes and dishes so they aren't slaves to chores, they found help. Well, we found a way to help us not be victim to food addiction with a little help! Honestly, I chose to weed out the negative people in my life. I do not like to be involved with people like that! I think they are just envious. What we choose to do with our bodies is our choice, nobody else matters!!! As far as me, I am in my three week stall and I dislike it! I thought I would shed the weight faster, and I did the first two weeks, and then there is this nice hill to climb, "Three Week Stall". I've read much about it and I will do all I can to stay motivated and positive about moving through and climbing up out of the valley! I want to be on the top of the mountain, not in the foothills!! =) Wishing you a fast next few months!! Keep in touch! Christie

No I ain't had nothing to drink I knew that’s probably what you'd think If I dropped by this time of night Remember way back when I promised you I'd drop in At one of those meetings down at the Y Well, they started talkin bout steps you take Mistakes you make The hearts you break And the price you pay I almost walked away You could hear a pin drop When this old man Stood up and said I'm gonna' say it again Like I do every week For those who don't know me (Chorus) It's the simple things in life Like the kids at home and a loving wife That you miss the most, when you lose control And everything you love starts to disappear The devil takes your hand and says no fear Have another shot, just one more beer Yah, I've been there, that's why I'm here This ole boy stood up in the aisle Said he'd been living a life of denial And he cried as he talked about wasted years I couldn't believe what I heard It was my life word for word And all of the sudden it was clear (Repeat Chorus) That’s one of my favorite songs. It’s written and performed by Kenny Chesney, and for a long time I couldn’t hear it without crying; sometimes, I still can’t. I know it’s about alcoholism, but it’s also about me and my eating disorder. So many times, I thought, “I got this. I’m in control. I’m NOT an addict. I’m not ill.” Then there was the time when I lost 71 lbs. on Weight Watchers, and I was convinced that I was “fixed.” I was cured. I wasn’t “that” person anymore, and I was never going back; ever…but, I did. The devil definitely took my hand and I thought, “Just this once.” “Just this once” led to a downhill slide and a massive weight gain. I spent years beating myself up over that. I could not believe that after all that hard work that I blew it, like that. And then, my darkest days began. I felt as though my eating was so much bigger than me. It was something separate from me, that I couldn’t control. I hated life. Every day was a struggle of when do I eat/how much do I get to eat/when will I get to eat again/ what is there to eat? Worst of all, I knew that if I ever did get it together, that it wouldn’t stay together. And I hated everyone; but no one as much as myself...I really hated me. I think that everyone has to have their “moment of truth.” Mine came for me at 3:00 in the morning, watching a show on WLS. I remember thinking, “Life doesn’t have to be this hard.” I pretty much decided right then, that I was going to do this thing. You know, I would have NEVER thought that anything positive could have came from that 71 lb. weight gain, but I was wrong; several positive life lessons came from that. I learned that just when you think you’ve got your demon under control, and you get so high and mighty and complacent that it will rear its ugly head and kick your ass. I learned what to look out for, and what foods that I can’t handle; foods that are “triggers” for overeating. I learned that I am WAY stronger than I ever imagined. Lastly, I learned that the weight loss is secondary for me. The main thing is that I’m free. I’m free from the prison known as my eating disorder. And life is good. Life is very good.

Good point but be careful! My "extended vacation", 15 months of emotional eating, poor choices and drinking while I ate again got me no where but a 30 pound weight gain. The band doesn't fix it all unfortunately. I hate to put a negative spin on things but I don't want others to make the same mistake as myself.

Monday - I left Halifax early o'clock in the morning and flew to San Diego via Toronto. Flight was uneventful even if it was with Air Canada and strike threats. Arrived in San Diego and was met by driver by the Info Booth. Was driven to the Hospital where I was met by my coordinator Trish and escorted to my pre-op tests. I was early arriving and was given the option of having my surgery that afternoon instead of the next morning as originally scheduled. I decided to wait till the next morning as I was not mentally prepared at that point. Funny later that night as the nerves, second thoughts, what ifs, set in, I kinda wished I had just gotten it done and over with. Tuesday- I was up and waiting at 0700hrs. Anxious yes but feeling confident with my decision. Dr Kelly came by and talked with me and answered my questions. I gave Dr Kelly my camera for a picture of my stomach that was removed. I did not have a lot of questions, I am typical type A personality and control freak. I researched the hell out of this and knew what was going to happen. Went to the OR at about 0900hrs and was back in my room about 1030hrs. All done. Slept for most of the day. That afternoon tried to get out of bed to go pee and start my recovery process but I was in too much pain and was given pain/nausea meds and rested for a while again. Late that afternoon early evening got out of bed to pee and went back to bed. I was on pain meds thru night but was able to get out of bed to pee on my own. Vomited during the night and cleared blood? from stomach. Felt so much better. Wednesday- Felt great. Up in morning and started walking the hallways. I was given ice chips but I sipped water in tiny amounts. No real pain at all. Was still on IV fluids with nausea meds and antibiotics. Had a lovely shower. I felt so human again. I put on my PJ's and continued to walk and rest the remainder of the day. Dr Kelly checked on me multiple times during the day and was pleased with my progress. Had a good nights sleep. Thursday- Woke in the morning feeling even better than the day before. Dr Kelly came by and removed my drain. Wow what a difference. I felt even better. I showered and remained at the hopsital walking and sipping for a couple of hours. Then off to another hospital for my leak test. I had no problems with the barium drink stuff. Leak test was good so off to the hotel. At the Lucerna (very nice indeed) I rested walked about and ordered some chicken broth. My coordinator Trish left me a pack of goodies, gatorade, SF jello, water, and extra dressings for me incisions. Dr Kelly and the coordinator came by again that evening to check on me. I had an ache in shoulder and neck that was due to the gas from surgery, I knew to expect this and brought my heating pad, it helped alot. I had a wonderful sleep that night. Friday- Feeling really good. Haven't had any pain meds since night of surgery or needed any. I was feeling a bit cooped up. Dr Kelly came by to check on me in morning and again very pleased I was doing so well. Trish came by after lunch and brought me out to see a bit of Tijuana. It felt great to be out and about. Yes I did a little shopping. Back to the hotel for rest and some more yummy soup broth. Went to Starbucks across the street for green tea that evening with Trish. Saturday- Feeling superb. Dr Kelly came by to check on me again as I was leaving that evening for home. All is good. I left hotel with Trish my coordinator and went back to hospital to visit a lovely lady Stephanie(sorry if I misspelled your name). She had her surgery on the friday and looked great. Wasted loads of time until I was picked up by my driver and brought back to San Diego Airport. Going over the border to the States was a simple process. The van went in a special lane for buses and commercial vehicles. We stopped at the customs agent. I got out of van with my bags and went into special line and was processed and then bags were xrayed. Met the van and driver at the parking lot on just after exciting the customs building. Easy Peasy. At San Diego Airport checked in a waited for my overnight flight to Newark. Slept the whole flight. Met my next flight to Halifax. Slept the whole fligt again. Sunday- Got into Halifax Airport at about noon and hubby drove me home the 1.5 hrs to Kingston NS. I am now 2 weeks Post op and doing great. Getting in my protein drinks and liquids. Be vigilant at measuring how much liquid you ingest as I was feeling weak yesterday and realised too late that I hadn't drunk enough the day before. I have talked to Trish multiple times as she calls to check on my progress. I was 284lbs when I was weighed prior to surgery. I was 289lbs when discharged (water weight gain from IV fluids). I am now at 2 weeks post ov 272.6 lbs. So actual lose from preop weight is 12lbs so far. Lessons Learnt- I went on my own and that was a good thing for me. I didn`t have to worry about a companion. I didn`t have to keep answering questions like: how are you feeling, how are you doing, are you nervous, can I do anything for you. That would have driven me insane. My heating pad was a great thing for me to bring along. My Kindle was great, My Ipod was nice to have. My smart phone allowed me to send messages and updates back home with wirelss connection but I did not have any cellular service. I was happy with having a pair of PJs, they allowed for the checking of incisions without having to pull up a nightie or keep my hospital gown on. I had t shirts and yoga capris for day where in hotel. I wore same clothes home that I wore flying to Mexico. Gas X helped. If you have acid reflux issues they will give you meds to helpl I think that is all. I wasn`t scared at all in Mexico. I had faith in Dr Kelly. Trish was fantastic and really took care of me.

I've used MyFitnessPal for almost two years now and highly recommend it. It's quick, easy and makes you accountable - to you. I have found that it establishes an irrefutable link between what I put in my mouth and what I see on the scales. That link is reinforced every day. And perhaps more importantly, the control and confidence that my log gives me is beyond priceless. Enjoying those special occasions in life that involve food will often result in a little weight gain. I simply adjust my calorie goal down by 100-200 calories for a day or two and my weight comes right back down. I've done it not just once or twice but many times. You don't have to do that too many times before your confidence goes right through the roof. You don't think you're in control, you know you're in control. You no longer stress or worry about enjoying a special occasion because you know you can correct it. Food logs/apps/photos are an enormously powerful tool that should be in everyone's toolbox!

that isn't real weight gain, likely water retention. anyone who starts exercising should expect water weight gain out of the gate. never met anyone who didn't have it.

Hi all. I had my surgery on Jan 16 and am currently one week post op. So far so good! The only issue I've noticed is I can consume anything cold. But down 10 lbs :-) A little back story. I'm 25 and was diagnosed with a hormonal disorder when I was 14. It's caused a lot if weight gain, blood sugar problems, and infertility. I've always been athletic, played volleyball and was a runner most of my school years, but I was always the chunky one. After high school I got married and have been a nanny/homemaker. To no avail, my husband and I have not been able to conceive. So 120 lbs later and countless failed diets, except use routines, and fertility treatments, I am here. I feel good about my decision. I'm hoping to get to know other RNYers and have a support system since my surgeons office is 4 hours away and I won't be able to make the support meetings. I've read so many post and have so much respect for this outlet and the people who bare the souls on here! Hope to get to know y'all Mandi

I'm thinking of going the IUD, I'm currently on he Nuvaring, while it's convenient I thinks it's caused my hair to thin, weight gain & a low laws drive .... Hoping for something w/o hormones

The holidays are here. And you may be feeling a little nervous about the challenges of upcoming celebrations if your weight loss surgery was recent. Then again, you may be over confident and think that weight loss surgery is all you need to protect against weight regain. In either case, some holiday survival tips are in order. Our discipline to diet and health will be tested time and again across the holidays. And so you should implement a holiday plan for success if you are sincere about maintaining your current weight through the tangle of holiday temptations. Gain Support from Family and Friends Be social and use your allies. Talk to them in advance about not pressuring you to eat foods that will sabotage your diet, if need be. And if you are feeling pressured, make them aware and ask for their support. If all else fails, politely excuse yourself and go somewhere for a 5-minute break (the bathroom if you must). When you return, the conversation focus likely will have moved onto another topic. Learn more “Post Weight Loss Surgery Holiday Survival Tips.” Similarly at these gatherings you may have to handle harsh or inappropriate comments about your bariatric surgery. People make inappropriate remarks for a few different reasons. Some have poor filters while others may think they are being helpful. Some have poor boundaries and others may be passive aggressive. Too much to drink is always a possibility. People can be rude and that includes family members. Learning to cope in a healthy way is the best choice, so here are some suggestions about what to do if an inappropriate comment is passed: Read, “Coping Skills after Weight Loss Surgery.” Practical Tips for Controlling Portion Sizes A moderate, healthy snack just before a celebration can help to control hunger and thus begin the afternoon or evening with a more reasonable appetite. Remember when making your plate that small portions of favorite foods are a better choice than tasting a little bit of every dish. And by all means do not sit by the serving tables. Mingle away from where the food is displayed. Controlling portion sizes is a vital addition to your plan! Get more tips, read, “Controlling Portion Sizes at the Holidays.” Weight Gain at the Holidays Isn't Just About Food Some people overeat at the holidays because there are seduced by rich holiday foods. Others have different motivations. They use food to relieve the holiday stress that inevitably creeps in for so many. Celebration and pressure often accompany one another. Some people overcompensate for the pending New Year’s diet resolution and eat with abandon through the holidays. Other people succumb to unrestrained eating because of a single episode of overindulgence. A breach of discipline can open the floodgates to weight gain at the holidays. Continue reading, “The Skinny on Weight Gain at the Holidays.” It’s Not All about Eating Healthy at Parties It is important to take the focus off of eating and instead turn your attention to the friendships and conversations around you. This is a time to give your attention to someone rather than some food thing. Before my gastric bypass, all I could think about was the food and drink being served. I was oblivious to what was happening around me! That has long ago changed for me… the reverence and importance of the gathering of friends and family is most important. For me it is a time of gaiety. And that is the richest experience of all. Respect yourself and your weight loss this holiday season. Living larger than ever, My Bariatric Life

That's my biggest fear! I'm one week postop and I discussed this with my surgeon after surgery. He stated that after a year or two it's common and normal to see weight gain. Some of the reasons are: relaxed exercise regimen after losing the weight and stretching of the pouch by overeating. His advice was if weight gain occurs, pump up your exercise regimen, make sure your getting enough protein, vitamins and sleep and lastly, as already suggested go back to the post op diet for a week. Good luck!

So due to the holidays I have gained 2 lbs. I have my final nut visit tomorrow. I plan to wear light weight clothing, plan to take an Epsom bath tonight and tomorrow am and only drink a half of a protein shake in the morning before the appt. I have been eating really clean (low sodium etc.) the past few days, drinking tons of water and limiting to 1100 calories so I am hoping the scale looks better tomorrow. So my question- does insurance look at the weight from the first and last doctor's appointment or the nutritionist? It is at 2 different offices and 2 different scales. My doctor appointment is next week and surely I can lose the 2 pounds by then and be less than my initial appointment. I can't delay either appointment due to insurance number of days requirement. Ugh!! I wish I would have been more mindful over the holidays.