Search the Community

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

I'm 4 years out and have maintained a stable weight for over 2 years. I've taken a lot of cues from the WLS veterans on this forum because I'm acutely aware that a lot of WLS patients experience significant regain, and I live in fear of that because I've gone through a lot to lose 200 pounds and I don't ever want to go back to obesity. I learned early on that one of the keys to long-term maintenance is closely monitoring and tracking weight, and taking action promptly if it starts to creep up. I weigh myself on a daily basis (usually more than once a day). My weight can fluctuate quite a bit, sometimes by 5 pounds within a single day, so I consider my normal weight range to be 135-140 pounds. As long as I'm within that range, I don't give it a second thought. I may be outside of that once in a while, but I don't worry about it too much unless I stay outside that range for more than a couple of days. I've continued to track everything I eat and stay within a calorie limit. Five years ago, I would have been horrified to imagine tracking my food long-term, but I actually think it makes weight maintenance more sustainable. I could probably get away without tracking at this point because I habitually eat healthy, low-calorie meals, but much like having a financial budget, having a calorie budget allows me to prioritize and make conscious decisions about what I want to consume. If I'm tracking my food, I know whether I have room in my budget for a treat today, or if I want a specific treat, I can make sure to leave room in my calorie budget. I think this is really important because I don't have to go off track or have an out-of-control "cheat day" to eat what I want. I eat healthy foods most of the time (with the occasional treat within my calorie budget), and I've completely overhauled my diet. I've gotten the sense that one of the pitfalls that can lead to regain for WLS patients is that we can rely on our restriction for the first year or so to limit our calorie consumption, but if we continue to eat high-calorie foods like fast food and highly processed snack foods, once the restriction is weaker, we can eat enough calories to regain the weight, and/or eat around the restriction by having multiple smaller portions of high-calorie foods. I eat a lot of vegetables and salads, lean protein (chicken, pork loin, seafood), and legumes, and avoid sugar, refined carbs (rice, pasta, bread, crackers), fried foods, and other calorie-dense foods like cheese. I've discovered a lot of healthy foods that I love eating, so I don't feel deprived with delicious low-calorie meals. Initially, I was very strict about weighing and tracking every bite of food, but I've gotten much more relaxed about it and I just eyeball things that are negligible. I still weigh and measure things with higher calorie density like meat or oil, but I don't measure lettuce because even if I underestimate, it will be a 10-15 calorie difference at the most, and I log half a tomato instead of weighing the exact number of grams. This is another reason that weighing myself is key -- I know that if I'm maintaining a stable weight, my guesstimates must be close enough. Exercise wasn't a huge part of my weight loss strategy; I didn't do any exercise at all for the first 75+ pounds, and then I just did YouTube videos at home. Exercise has become a huge part of my lifestyle in maintenance, though. Not only do I do cardio at home on a daily basis and a minimum of 15,000 steps per day, but I also take fitness classes including strength training a few days per week.

Best advice is to go back to how & what you were eating when you reached your stabilised weight. This was likely the calories and nutritions you needed at that weight. However a bounce back regain isn’t that uncommon. It’s like your body hits a low point but it was actually too low & then you gain a little & your body bobs up to get to what is actually your new set point & where your body is happiest. Check to see if you’ve let a few things slip like with your food or drink choices or or you’ve not been as vigilant about portion sizes, calories, activity, etc. It’s easy to get a bit over confident or complacent with our choices & behaviours. And life sometimes gets in the way of our best intentions. Unfortunately too, many medications, like those you may be on for your depression, can contribute to weight gain. Worth a conversation with your prescribing doctor to see if there are alternatives & also your surgeon to discuss your options to manage it.

I am coming at this thread from a slightly different perspective. I'm not a long termer (whose experience I know you were asking for) so please do place more weight on those people's posts. I do rely SO MUCH on the stalwarts here to be my guiding stars and four of them have shared their wisdom already. I have struggled a bit to maintain my loss. I reached my original goal weight about a year after my surgery. The second year or so I lost much more slowly but ended up about 20lbs under my goal. In my third year I slowly regained 16lbs. I eat pretty well I think. I cannot, and never have, eaten breakfast. Coffee only before about 11am. Looking at the link above I do wonder whether I should just start stuffing something down. I think my regain has been due to bits of sneaky sugar creeping in, and alcohol (totally empty calories - if you can do without then this is the smart way forward, I simply cannot completely LOL). I reached a point a couple of months back when I was unhappy, thought I'd gone beyond the well known third year rebound and decided to cut out the sugar and (mostly!) the alcohol. Since then I've lost 10lbs of the 15 I gained. Still loosing now. My maintenance calorific intake seems to be 1500 or a little less. I am pretty tall and moderately active. It's weird because I lost large amounts of weight consistently on much more than this a year ago. I think some people get blessed with a new set point weight that is easier to maintain with a much higher calorific intake and some get cursed with a lower set point so that inhaling a random breath of air containing just a whiff of bacon can disrupt. Sadly I appear to be in the latter category now. Take home message - everyone's weight loss in the initial and the maintenance phases seems to be individual to them. Yes we can look for patterns and try to emulate those in order to maximise our own losses, but it doesn't mean our own loss will follow any particular trajectory. Sugar and alcohol are our enemies. I wish you all the best after your op OP. Keep posting, it's endlessly fascinating to hear others' experiences.

Ask him about the statistics of long-term success with the sleeve. The sleeve is great for many people don’t get me wrong, but I believe it was 26% of sleeves that need to be revised. If I’m not mistaken, this included because of Gerd as well, but also inadequate weight loss to begin with or weight regain, which was more common with sleeve than with the other surgeries. When I talk to my surgeon about revision, I wanted assurances that I wasn’t just wasting my time going to lose all of my weight. Only to turn around and gain it back and he said the sleeve does not have the same metabolic changes that the SADI or Bypass offer. While the. Sleeve is enough of a change for many people it’s just not enough for some. In my case when I lost my weight, I was basically on a diet with the sleeve which was a little bit easier because I wasn’t hungry, but once the hunger came back, so did the weight for me so this may be different for you because you did keep it off for a while, but I would ask what the statistics are in terms of people who gain it back down the road with sleeve is that more common than with the other surgeries? I guess one kind of pro for doing the sleeve would be that if you did regain the option for a revision would probably be a lot easier. Not trying to say that you want to think of that before you even start but it is a possibility for all of us I guess. It’s a lot of questions and a lot of information when you start weighing more than two options especially but just be thorough and ask all your questions you will know which option is best for you once you feel educated about them all. Best of Luck.

What about trying a GLP-1 versus surgery? Check out Dr Matthew Weiner’s Pound of Cure website, podcasts & you tube channel. He’s been speaking a lot about recommending sleevers with regain to use GLP-1 meds instead of a revision surgery. You may find it interesting & something to discuss with your surgeon as another option. PS. Out of curiosity what was your original starting point weight, your maintenance weight, and current weight?

I had a lap band placed in 2013 and ended up having it removed here in January. It up getting infected. Thankfully no erosion and just some scar tissue. The surgery to remove it was miserable for me tbh but at that time i started the process to revising from band to bypass. Thankfully that went through without a hitch and I had surgery on the 2nd of October. Initially with the band I lost over 100 lbs very quickly and felt so good. Went from 305 down to around 200. About a year after the band was placed I got my gallbladder out and I feel like that is when things kind of took a turn for me. I ended up having issues with the band so I just removed all the fluid after a year or so and just coasted through life with the thing. Things still getting stuck with it empty. Ended up gaining all my weight back and then some. Anyway, I just got the bypass on the 2nd and I am just overwhelmed with fear of not losing enough with the bypass as well as regain. Wondering if anyone has had similar experiences? On the pre op diet I lost 15 lbs and I have lost about 17 since surgery. I am almost 3 weeks. I read about people losing 30-40 right away. I worry im not on track even though I feel as if im doing well. I dont have any pain, my energy is good, i havnt puked at all since surgery (still on full liquids) and overall things seem to be doing well. I do need to up my protein (60-70 grams a day) but am able to get my fluids in. Time will tell I guess but would love to hear about others experiences. Thanks Brittany

Is there any stick with the carrot? As in - if you regain weight whilst waiting for the surgery is there any chance they'll say - well, you couldn't stick the the diet pre-op so you mightn't post op? Not that I think they would, there just seem to be so many ridiculous hurdles to jump though beforehand sometimes. I wouldn't like you to get caught by any of them!

Many years ago (after a Jenny Craig diet) I had a few things taken in but they never fit right after. If you’re dropping down anything more than a bare single size, they really need to take the whole item apart and recut everything which is not always easy or inexpensive to do. Unless it’s something with just straight side seams, a simple waist band & is sleeveless, it’s not an easy fix. PS. I should have saved my money back then because of course I regained the weight I’d lost then & had to buy new clothes again. So glad to be off that rollercoaster now.

I can't afford plastic surgery so have had to make do without. My skin laxity has definitely improved in the almost 3 years since my surgery. I was also certain in the first blush of weight loss in the first year that never would I ever regain even a single ounce, but I did regain quite a lot despite my resolution not to. Haha that's all I have to say! My arms are still the most visible saggy skin I have and they look way better 3 years on. I would rather times a million have this 'problem' than my previous morbid obesity. No brainer. Stomach and bum and legs nobody gets to see and have saggy skin - but also seem better as time progresses. Breasts were the least unforgiving luckily, appearance wise. I know we're all different and we want different things as we progress. Hoping you all get to where you want to be soon. 💚

I am literally having a panic attack now.. I feel guilty because I was hungry and decided to eat! That's it! I had rice and a minced chicken curry. It was a good portion but I feel so so guilty because it was my 2nd dinner.. i simply cannot continue living like this.. the guilty and panic of overeating or regaining and i didn't even lose the weight to be begin with. I pass infront of the mirror and I just feel fatter!

It sounds like you’ve been through quite a journey, and it's commendable that you're taking such an active role in your health now. The feelings of frustration and sadness you experienced after your sleeve surgery are completely valid, especially considering how much effort you put into your lifestyle changes. Many people feel that the sleeve doesn't provide the same metabolic impact as other surgeries, which can lead to feelings of disappointment when expected results don't materialize. Your decision to pursue the SADI is a brave step, and it’s great to hear that you’re feeling more supported this time around. Finding healthier foods that you enjoy and integrating exercise into your routine are essential for long-term success. It’s understandable to have fears about regain, but it’s important to focus on the progress you’re making towards a healthier lifestyle rather than fixating solely on numbers on a scale. Setting realistic goals is crucial. It’s okay not to hit your ideal weight as long as you’re feeling healthier and more energetic. Remember that every step you take towards better health counts, and it's wonderful that you’re prioritizing your well-being over just weight loss. Celebrate the positive changes, no matter how small, and lean on your support network—they can be a powerful motivator! You're doing an amazing job, and your journey is inspiring to others. Keep pushing forward, and remind yourself that it's all about the journey to a healthier you! Thank you for sharing!

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

You're probably right; the InBody is likely more accurate than the smart scale, but it’s definitely not 100% either. I totally get where you’re coming from—I’ve also decided to move on from stressing about the numbers. I think I might be barely hitting my protein intake, and that could be part of the issue. Honestly, I feel like I should just be snacking on chicken breast to get those numbers up! I appreciate the reminder about protein and carbs; it’s helpful to know that our needs can change with activity levels. It sounds like you’re really on top of things with your goals. Keeping track of our intake can be tough, especially with everything else going on! f you don’t mind sharing more about your regain, I’d love to hear about it! I understand if it’s too personal, though. I’ve also been curious about why it seems more common to regain after sleeve surgery compared to bypass, especially since so many people still opt for the sleeve despite bypass being around longer. What do you think contributes to that? Thanks for any insights you can share!

Thanks!! Yea I hope it means the others are in their grove and just enjoying life and too busy to post. Hopefully we will hear from them on occasion at least to hear how they are doing too. I intend to stay on the site. Long-term because with my sleeve I stopped posting as much and well, can’t say that was my entire issue but I’m sure that it contributed to my regain. I also did not do the in person support groups before m or tell many people that I was having surgery. This time I ask for support anywhere and everywhere. I have constant reminders of what my goal is and I’m hoping this will make all the difference.

Excellent thread - thank you @JamieLogical! I got sleeved almost 3 years ago. I hit my goal weight well within my first year. I lost another 10lbs very slowly in my second year to reach a BMI of 20. I was absolutely thrilled - I had lost just over half my body weight and was well beyond wildest dreams territory after a lifetime of obesity. But I started to regain this year. Initially I thought it was just the classic '3rd year regain' of the 10 - 20 lbs that so many people seem to experience. I asked lots of questions here and was reassured by the answers. I hadn't really drifted *that* much off the path (I thought). However, I continued to regain with no let up and was getting really worried. I eventually reached 16lbs over my lowest weight a month or so ago. Finally, I decided to go back to absolute basics and see whether that might reverse the regain. Carbs had crept in a bit (NOT A LOT, honestly) so I started every meal with protein, ate veg next, and stopped all bread, rice, pasta, potatoes etc. Just as I would have 2-3 years ago. Guess what? I have lost 9lbs of that regain in just over a month. My current diet is pretty much strict keto and not hard at all. I totally agree that the tool is there, we just have to use it and not eat around it. I'm so happy that I caught myself before I regained much more, but I can also totally see how I might have undone much more hard work. I wish you all the very very best with your new loss. I suspect you'll greet every milestone with just as much joy as you did originally.

Because I am still 'fairly" early in the journey (a little over 9.5 months post-op) I completely get your fear and worries. I go through the same cycle of thoughts and what ifs, I wonder if I'm eating too much, too little, losing too much, regain....etc. so I get it. What I can tell you is that you used your surgery to build really good habits and that is eating well most of the time, steps, weight training...etc. and I'm sure those replaced your previous bad habits. Please do a mental comparison of yourself pre WLS and post WLS and see how much you've changed. From what I gather is that you took up exercise after WLS and that gives you great advantage. Your body will build muscle and lose fat simultaneously and you will be at the peak of hypertrophy so take that chance to build as much muscle as you can (fat burning machines). I can tell you that someone at your height and activity level would need quite a bit more than 2000 calories to maintain, so you're still in a deficit. And the beauty of it, is that you can always dial back up or down when you see changes on the scale! Weight fluctuations are very normal (up to 10 lbs), yesterday I was 53.2 on the scale and the next morning I was 53.9 overnight! I know that I was getting my period that day so I knew it's water retention, no biggie! I think you absolutely got this!

Jamielogical thank you for your inspiring words of motivation I had the VSG about 3 years ago and regain weight to the point I was thinking there is no way to get it back off. After reading your story I have the motivation I needed to not give up the fight and reclaim myself.

I just want people who experience regain to know that it’s not (as simple as being) their fault ❤️

THIS ^^^^ I never dropped a lot of weight in a short time. I averaged 1-2 pounds a week and as long as the scale was moving in a downward direction I was happy. If I hit a stall, I stayed off the scale to preserve my mental health. LOL I kept telling myself slow and steady wins the race. Distracting myself with moving and thrifting. I found that I breezed through clothes sizes way faster. Which was sooo much fun. Almost 1 1/2 years after Gastric Bypass. I'm still losing pounds and inches. Not sure where I will end up and people are telling me to stop but I'm letting my body dictate that. For now. I walk a couple miles a day. That's it. Today I am 5 pounds from goal weight. And I personally know someone who had WLS GB many moons ago and regained the weight back and more. She's a bad reminder of where I don't want to end up. Enjoy the journey and WL and mentally prepare yourself more so, for the maintenance part when it comes. GL

Thank you for answering! I have always wondered where I'll be when I'm further out and how I would manage regain, I hear a lot of stories of how people who've had WLS resort to GLP1 treatments at several years out. It would be great to know how you plan to come off/on it again

Because restriction isn't everything. It's easy to eat around your restriction. Restriction doesn't stop hunger, or food noise, or just wanting to eat food that is delicious but calorie dense. I had 20# of "good" regain. I got too thin after WLS, and I didn't like how my body looked at that weight. The normal bounce was good for me, and is what I've found to be my ideal weight. Over the last 3.5 year I slowly gained weight. At 20# over my ideal weight, i didn't like what I saw in the mirror. So I got on a GLP routine and quickly and easily dropped the excess weight. IME, GLP's are going to be revolutionary. I'll likely use them as needed to regulate my weight indefinitely.

Hi there, May I ask why you use GLP if you have effective restriction? Have you experienced any regain?

I'm 6.5 years out and still have a very restrictive sleeve. But I definitely seem to be an outlier. I can eat about 4 oz at a time. For instance a Taco Bell taco or small McDonald's hamburger. But even with small stomach capacity, it's easy to regain. My stomach empties quickly so there's nothing stopping me from eating to excess. I've had to make a conscious effort to maintain a weight I'm happy with. I use both IF and GLP meds. Along with calorie tracking for accountability.

I’m not sure about in AU, but in US medical files sometimes still say history of obesity/Bariatric surgery so that bypasses a lot of issues when trying to explain why you need help losing regain or maintaining weight. Can others please chime in if they have any information about this? But either way if you can swing it, they are effective.