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Hi everyone! I’m looking for an accountability partner who understands the journey of a 200+ pound weight loss—whether you’ve already achieved it or are working toward it now. I had gastric bypass 10 years ago and initially lost 200 pounds, but I’ve since regained it. I’m starting to lose my mobility, but I refuse to give up. I know I need to use my tool and get this weight off (again). I’ve found that having an accountability partner makes a big difference, and I tend to stay much more consistent. Plus, I’ll admit I’m a little competitive! I run a business, so my work life can get busy, but I’m committed to making myself a priority this year. Weekly check-ins (or more often, if that works for you) would be great. Ideally, we’d both be committed to our goals and help keep each other accountable. 😊

Just echoing what the two very experienced forum members say above. A regain in 2nd and 3rd year post op is almost the norm. Please try not to worry about it unduly. Your set point is the weight/body composition that your body wants to hover around. The video below is short and might help. Your set point gets lowered drastically by WLS. But - processed food raises it. Eating cleaner keeps it lower. Building muscle mass keeps it lower. Might those be things you can work on a bit? Lots of people focus on cardio and that's brilliant, but lifting weights or using resistance bands (even if you never do cardio!) can add another really significant layer to that. Do you or have you ever tracked your intake? If that has slipped just tracking again might make you aware of what you're taking in and what you're using up. I am saying this as someone just about 3 years post op who regained 16lbs this year. I personally wasn't happy with that because it didn't stop as others' seems to, so I lost 10lbs by strict keto and am now back where I want to be. I had dietary lapses I needed to correct too and am working on that. I had this surgery to stop dieting - I feel like I can tweak things to keep me where I want to be without that and that I've learned a lot by stepping back and really analysing my intake the last few months. Also huge kudos to you for thinking about this with only 9lbs on. Much easier to look at what you can change now, if you even need to do that, rather than further down the line. I wish you the very best.

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.

Hi vets- It's been TEN years this year since I had my surgery. I hate that I'm writing this, realizing that I became the stereotypical regain person that I NEVER pictured I would be. I had so many life events- parent death, spouse job change, personal job change, night time job, kiddo diagnosed with severe anxiety/depression, etc etc and have had some regain. Has anyone got a good 'recipe' for regain/reset? I've read multiple posts here from someone recommending 2 shakes plus 1 meal a day. Ideas? Can anyone offer some wisdom to a failed sleever?

Haaaa hello fellow champagne drinkers! 🍾 Veuve Cliquot all the way here. But I wouldn't say no to any of the others Sorry we've gone off piste a little. I have drunk carbonated drinks from very early post op. I don't *think* it made a difference to my rate of loss or to anything actually. But I was never told to avoid them. Although - full disclosure - I have regained 12lbs from my lowest weight at the start of this year, so maybe I'm not the poster girl for carbonation!

both i guess. good cuz my inner fat person is glad that i gave myself a bigger skinny buffer from my happy weight; bad because i didn't do it on purpose and i am actually not entirely happy with how it looks on me (sort of), plus my clothes are effing too big on me and i REFUSE to buy new clothes, because i KNOW i will regain the weight eventually. or hope. (background: i got braces on my teeth back in september, and i discovered that i HATE the feeling of food stuck in my braces, so i have to brush and waterpik my teeth EVERY SINGLE TIME i eat something solid....then i discovered i HATE having to clean my teeth like a gazillion times a day, so i just don't eat. yeah, i know, not the greatest reasoning, but there you go. as a result, i lost like 10 lbs (which is actually alot since i was already 115lbs)....but, since i started adding a morning protein shake and eating higher calorie foods when i DO eat, i seem to have stopped/slowed down the weight loss...so we'll see...) sooo maybe if anyone wants to try, getting braces may be a good weight loss tool for you too. lololololzzzzz.

ah, then i totally misunderstood. my bad, sorry! i was under the impression you were feeling healthy...i see know that you are totally not. with all your ailments, i would go back to your doctor and request some help! not sure this is something your nutritionist can take help you more than you doc can with if all your labs coming back satisfactorily..(besides the anemia, but this is par for course as you mentioned...) (also. maybe cut back on the workouts until you regain your strength??)

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.

Yes, it is okay!! It was kind of embarrassing for me to but I believe it was 26% of sleeves that need to be revised between GERD and inadequate loss or regain. We are not alone. My surgeon said that the sleeve is a really great surgery for many people but obesity is complex and some people just need a greater metabolic change that the SADI should give you. It’s a very exciting journey. I’m excited for you to get started. There is another thread titled “Sadi is so lonely” that I started when I was considering the SADI and couldn’t find many answers to my questions. You can see if you skim over it how lost I was back then but you will likely get the attention of many people who also had the SADI surgery if you post any specific questions you have on there.

Well I had some circumstances (some out of my control but some that ultimately were) that all added up to my regain but it boiled down to unhealthy choices and increased portion sizes. Just don’t do that and you should be fine. Sticking with the support groups should be a huge help. I stopped posting here and going to my my appointments when I started gaining too much because they couldn’t offer much for me in terms of options and I was embarrassed. It was a bad decision since that was when I needed support most.

Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me. I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.

I'm starting to doubt my decision to have the VSG rather than the Bypass. I keep hearing that the sleeve leads to an inevitable regain and I'd rather not do this surgery just to gain it all back if the bypass is better for long-term weight loss. Because it's the NHS and they only offer two surgeries I can only get VSG or bypass. I only chose the VSG because I fear the complications my mum had with the bypass. Is it inevitable that I will gain it all back? Is it too late to change my mind about the surgery? I really don't know what to do!

@Mspretty86 I maybe have clarified that I did not get pregnant. I just regained. I’m sure that if you were to gain a reasonable amount with a pregnancy under your teams care you could take it off between breastfeeding and diet. I was just saying that getting enough calories after you are like 6 or so months out shouldn’t be an issue that you would just have to eat more times a day. Many of us gain way more that is really necessary to support a healthy baby anyways.

Congrats on 10 years! I think we all will have ups and downs our whole lives! Just life! I too was 277 at my highest ever. Lost 100 lbs before and 60 lbs three times, and 20 and 30 lbs several times and it always came back slowly over the next few years. So I got the sleeve done Dec 2 last year and have gone from 244 at start of liquids before surgery to 202.4 today. Almost to Onederland! I love all the tips you shared. Snacking and drinking calories are DEFINITELY culprits to regaining our weight! I bring divided out grapefruit every day lately if I do want something. Or berries or cucumbers. And I've been drinking water during the week and add in my tea and coffee on the weekends usually. But I use Stevia. I was divorced a few years back also and remarried and my husband is pre-diabetic. He doesn't eat sugar now so that helps me too. 🙂 He eats healthier than I do since he found that out too. Determined to not become diabetic. He eats baked fish, grilled shrimp, spinach and cabbage, etc. LOL! He's got some great willpower. You and I seem to have lots in common! But I don't like beer. LOL! It's probably better for me though than pina coladas, which are my fave! LOL! I haven't had one in a year or longer. And just had surgery about 3 months ago. You can tell I hardly drink at all. 🤣 I am so glad to know restriction stays! Some people say it fades. I'm glad it doesn't! Hopefully we can continue to lose and get to a weight we are happy with this year! 💗

I wanted to post a quick update. I had my birthday and definitely didn't follow my plan and the next day was my friends wedding so that day wasn't much better. But I've regained my focus and I'm back to what I should be eating. I'm still losing weight and major slip ups aside. I'm not going backwards.

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.

All great advice and much appreciated! Thank you all. @SpartanMaker thanks for the number crunching! I am definitely trying to cut portion size. We got rid of all the sugary stuff in the house and things like my tortillas. I've started walking (I have been completely sedentary for years- I work a very stressful, 40 hour week desk job from home.) I can't walk for 30 minutes straight. My low back and knees are trash. I carry most of my weight in my belly. I joke to my husband that I need a rolling cart to set my belly on so my back won't hurt so much. I walk as long as I can & fast enough to get my heart rate up and be breathless to the point that I cannot carry on a conversation. I'm looking for a treadmill so I can walk inside. I tend to turn my ankle & fall if I'm not super careful while walking on the gravel road. Thinking about pulling up some of those old Sweating to the Oldies videos by Richard Simmons LOL That might be a good way to do some cardio. I've failed at losing weight for so long. Today I'm feeling kind of emotional just thinking about what I'm facing. I said in an earlier post that keto & low carb didn't work for me.... fact is, they do work... as long as I stick to them. The minute I stop, I regain the weight I lost. sigh. Seems like I gain weight if I breathe in the aroma of baked goods.

Hey y'all, Haven't posted in a while but I need some insight from the community. I was sleeved December 2020, took RX strength omeprazole for 90 days post op since that was what my surgeon did., had zero issues with heartburn incidences. However, heartburn runs in my family---in the males, I didn't have issues beyond maybe once in a frozen blue moon I MIGHT have a mild case that 2 Tums fixed before surgery. Fast forward a couple of years-heartburn incidences starts getting worse/becoming more numerous, would get up choking on acid if I laid down to soon after eating and everything seemed to cause it. Water, protein shakes, sugar/no sugar, etc it's just stupid. I had a bad attack of pain and nausea a few months ago that honestly had me worried about a heart attack but ended up with a CT scan and was diagnosed with a hiatal hernia--the ER doc I saw said my surgery site/stomach looked fine though. I have regained about 35-40ishlbs from where I was but I have maintained a loss of close to 80lbs. In order to survive mostly comfortably, I am living off of a lot of days multiple famotidines sprinkled through the day. Sometimes NOT eating also causes heartburn. I'm over it 120%. Here's my question---my current insurance covers NO bariatric surgery for ANY reason. Should I pursue JUST the hernia repair in the US or should I look into going to Mexico for a revision to the Bypass with maybe also a hernia repair if that's offered? The reason I went with the sleeve in the first place was my already mild anemia that is genetic-runs in the family on the women's side unfortunately and I didn't want to contend with possibly getting really anemic or not being able to keep up with the nutrition/vitamin requirements but I can't live with this heartburn issue for another 50-60+ years (currently 35 years old). Thanks for anyone who wants to give me some thoughts/input!

So since posting I’ve not been very active and my issue with weight regain has gotten worse. I am now sitting at 270 pounds. That’s 100 total pounds regained. I am miserable. I am going to start a protein shake diet thing for a week starting tomorrow and really try to get active again, but as I mentioned before I am still on night shift and a student as well. My fitness pal seems to cost money these days and im absolutely not paying 20$ a month for that, I wish it was still free. Any tips is awesome, motivations, and even pen pals, I find not having anyone to hold my accountable is really a big problem for me as I tend to convince myself to do as I please (I get it, I need to hold myself accountable, but it’s nice to have a helping hand) thanks for all the comments

I'm 60, but I think you may be asking the wrong question? Although safety is a potential concern at any age, this is something only your surgeon can properly determine. I can say plenty of people in their 70's have had bariatric surgery. I think the real question should be: what are you expecting to be different this time if you have a revision? Would it still be worth it to you if you once again gained all the weight back? In my opinion, the fact that you've gone back up you your pre-surgery weight means that there are other things going on here that you need to address first. If I had to guess, I'd think there are 2 things you need to address before considering revision surgery, GLP-1 meds, or even fat loss diets: Your mental health. My personal opinion is that the virtually all obese or formerly obese people suffer from an eating disorder, or at least disordered eating of some sort. If you don't address this first, you're really likely to out eat any revision surgery you may have. Your activity level. The fact is that most people that are able to successfully lose weight and keep the weight off (surgical or not), are really active. In fact, some studies show that formerly obese people have to be even more active than someone that was never heavy to maintain the same bodyweight. The reasons for that are complex, but if you don't address this, the likelihood of at least regaining a significant amount of weight are pretty high. Best of luck whatever you decide.

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.

it's very common to have a 10-20 lb regain in year 3. It's not inevitable, but it's very common. And no, one day of bad eating when you're in maintenance is not going to affect your weight - I'm sure most of us long-timers have those days once in awhile. But if you go back to your old eating habits, you WILL gain a bunch of weight back (and maybe close to all of it). The trick is to be able to recover quickly from a bad day and get back to your regular plan ASAP (like...the next day). This is a lifetime battle (made easier by WLS, but still...a battle).

Hey, congrats on starting your journey! So, sleeve and bypass are both great options, but they work a bit differently. With the sleeve, they remove a part of your stomach, so it’s smaller, which means you’ll eat less and feel full faster. It’s a simpler surgery, and you don’t have to worry about rerouting your intestines or major long-term complications. But, it’s irreversible, and if you have or develop acid reflux, it might get worse. Now, bypass is a bit more intense. They make your stomach smaller and reroute part of your intestines. It’s great if you have diabetes or really bad reflux because it helps with those. Plus, people often lose weight faster. But the downside is you have to be super committed to taking your vitamins forever, or you’ll run into deficiencies. And there’s this thing called dumping syndrome if you eat too much sugar or fat, which feels awful. Honestly, it depends on your health and your goals. Like, do you have reflux or diabetes? How much weight do you want to lose? And are you okay with a more complex surgery if it gives better results? Your surgeon will guide you based on all that, so don’t stress too much now. Just go in with your questions ready. You’ve got time to figure it all out. Good luck at your consultation—it’s a big step, and you’re doing amazing by researching! i did the bypass and lost 20 kgs in 3.5 months Starting weight 109 kg and now 89 kg Also regain is harder with bypass. I suggest u keep reading and also there's more information on YouTube and tiktok

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.

tomorrow July 10 😌 Weird because 1200 calories for the past 2 weeks and liquid diet 24 hours before the surgery. This is gonna sound nuts but I hope that my liver isn't a fat gigantic thing... so embarrassing. I had gastric sleeve back almost a decade ago and managed to regain the weight. It's the same surgeon for this gastric bypass.