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Hi all I haven't been in the place in a while. I have managed to keep about 60lbs off but still not at my goal. At a doctor's (primary care) visit last week, he told me that I had gained 10 lbs over 2 years. That didn't surprise me - I had allowed other life matters get me off of workout schedule, drink more wine and I definitely noticed the difference in my clothes. I immediately got back to the gym (even bought a weighted hula hoop) but the glass of wine after work is still kinda habit/addiction. I go through spurts of eating well and spurts of eating junk. I haven't had much,if any, trouble with my band. I don't visit the doctor often but I am contemplating another fill, given the weight gain. This is life's work fa real! R~

You are absolutely correct. The band alone will not do it; is up to the individual to practice behavioral modification. There is some procedure called banding over the band????? This is when some banders feel the band produced no results. Not “gradually” moving away from the old eating habits will eventually cause weight gain. After overcoming two Achilles tendon surgeries, being in a cast for five months--in my opinion was no reason for me to gain 15 pounds. This weight gain was as a result of drinking juice, little Snacks here and there, the list went on and on. I absolutely did not need to accept these food items, nor was I forced to eat them. The weight gain was totally my fault and not the band. I quickly caught myself and got back on track. I stopped people from bringing me junk. I split my plate of food in to two (lunch and dinner). I took small bites; allowing time for the food to register to my brain that I was actually full. I had to really overcome “taste” again, and I worked my upper body while watching a program called Sit and Be Fit. Once out of my cast, I pushed myself to walk distance regardless of the excruciating back pain from being in the bed for months. I can now walk at a minimal of five miles plus a day. If I can get back on track after two surgeries, hospitalization and strict bed rest, anyone can. The band alone won’t do it! Once out of my cast, I pushed myself to walk distance regardless of the excruciating back pain from being in the bed for months. I can now walk at a minimal of five miles plus a day. If I can get back on track after two surgeries, hospitalization and strict bed rest, anyone can. The band alone won’t do it! I went from 270 to 215 and ballooned up to 225-230 during my layup. I was totally discussed, but again

Hi there. I had my lapband fitted about 5 years ago. Until recently I had no problems with it. I lost weight initially. But have since put plenty back on. Now I get substantial pain in my abdomen. I'm no doctor. But I feel as if my weight gain is somehow pulling on my lapband around my abdomen. It almost feels like it is moving around in there. Its really uncomfortable to say the least. I can almost feel the tubing in there.

My, my, my... where do I even begin? Let's see. My life has drastically changed. I'm a different person, inside and out. And oh yeah, I found someone who loves me and my child and wants to marry me. Yup. Life is good. Wait... no.... life is GREATTTTTT! Bottom line, my life didn't begin until I had VSG. Plain and simple. No diet, no magical pill, no trainer workout session would ever get me to the point where I am today. I'm now smaller and weigh less than I did when I was in high school. I had a lifetime membership to the fat kids club, and now I'm on the outside looking in. If I could afford to pay for all my overweight friends and family to get this surgery, I would do it in a heart beat. This has been a high photographic month for me. My boyfriend and I are NOT engaged... yet. However it's on the horizon and we had formal pictures done with my son, and then last week I went on Vacation and he and I went to Las Vegas for 4 days with friends, followed by a week with my family in Colorado. It was amazing. And I lost weight on vacation.... my sleeve is a miracle worker! While the pounds aren't coming off as drastically as they use to, they are coming off. I'm still eating a pretty clean diet, and I work out 3 to 4 days a week for a couple of hours at the gym that has onsite daycare for my son. My schedule is a hectic mess, but once again- if I can do this- ANYONE can do this. There is no magical one thing I did. I did it all. I worked out as much as I could, forced my water consumption, and ate clean. The sleeve did the rest, and the proof is in the pics. Interesting side story: While on vacation I visited with my aunt, who has been my stand in mother my entire life, has been battling with a number of major issues that have made her gain 90 lbs over the past 7 years or so. Always a pillar of health, when menopause set in, followed by a major back surgery, she couldn’t stop the weight gain. Last month she found out she has major artery blockage, horrible cholesterol, and high blood pressure. They put her on a super intense strict diet. I sat her down, and told her EVERYTHING. She knew I had VSG, but I told her the good the bad and the ugly. I even told her I went to Mexico for the surgery (she was VERY upset, and I figured this might be her response…). Then she said something interesting- she told me I was a walking billboard for VSG. We went to lunch and dinner several times together, and she was watching my eating and drinking habits, and started asking me how I was a 2 bite wonder? How I could eat a little bit of everything but not binge? And asked me about how my hunger has lessened, if not almost totally disappeared.She has never seen me so healthy and happy. She said my weight really messed with my head and my life decisions, and she sees how drastically I’ve changed over the past year, and she was so proud. And also found out VSG is covered by here insurance! She has already made the doctors’ appointments to look into it. I’m so blessed and thankful; she looks at me as a success story. She said she would NEVER have considered it if I hadn’t done it. While I wish I could get all of my overweight friends to invest into the VSG surgery, it’s absolutely humbling that someone so close and important to me would consider this surgery. I truly hope she follows through with it, and I hope I’m there when she has surgery. Height: 5'9 Highest (Surgery) Weight: 216 lbs Current Weight: 147.1 lbs Weight Loss to Date: -68.9 lbs 1st Primary Goal Weight: 169 (Achieved 11/27) 2nd Optimal Goal Weight set by Doc: 145 3rd Final Personal Goal Weight: 135 Sleeve Journey: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 8/17/12- PreOp/Surgery Day w/Pics Posted in Blog Week 1 (8/24): 204.8 (-11.2) Week 2 (8/31): 200.6 (-4.2) Week 3 (9/7): 196.8 (-3.8) Week 4 (9/14): 193.5 (-3.3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 9/17/12- 1 Month Anniversary w/Pics Posted in Blog (-22.5 lbs) Week 5 (9/21): 191.6 (-1.9) Week 6 (9/28): 190.1 (-1.5) Week 7 (10/5): 187.0 (-3.1) Week 8 (10/12): 181.9 (-5.1) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 10/17/12- 2 Month Anniversary w/Pics Posted in Blog (-11.6 lbs) Week 9 (10/19): 181.4 (-.5) Week 10 (10/26): 177.9 (-3.5) Week 11 (11/02): 176.8 (-1.1) Week 12 (11/09): 174.7 (-2.1) Week 13 (11/16): 173.3 (-1.4) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 11/17/12- 3 Month Anniversary w/Pics Posted in Blog (-8.6 lbs) Week 14 (11/23): 173.1 (-.2) Week 15 (11/30): 167.3 (-5.8) Week 16 (12/7): 168.1 (+.8) Week 17 (12/14): 164.6 (-3.5) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 12/17/12- 4 Month Anniversary (-8.7 lbs) Week 18 (12/21): Holiday Break/Vacation- No Scale Available Week 19 (12/28): Holiday Break/Vacation- No Scale Available Week 20 (1/4/13): 164.5 (-.1) Week 21 (1/11): 161.5 (-3.0) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 01/17/13- 5 Month Anniversary (-3.1 lbs) Week 22 (1/18): 161.7 (+.2) Week 23 (1/25): 158.7 (-3.0) Week 24 (2/1): Out of town- No scale Available Week 25 (2/8): 157.2 (-1.5) Week 26 (2/15): 157.2 ( .0) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 02/17/13- 6 Month Anniversary 157.2 (-3.3 lbs) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 03/17/13- 7 Month Anniversary 153.9 (-3.3 lbs) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 04/17/13- 8 Month Anniversary 150.8 (-3.1 lbs) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~> 05/17/13- 9 Month Anniversary 147.1 (3.7 lbs)

I worked out on Saturday and Sunday and did pretty well with food, but got a pretty bad sunburn on Sunday. This morning I was up 3.5 pounds! I'm pretty sure it's inflammation from the burn...anyone else experience this?

My PCP did the exact same thing which in turn sent me into a depression. I gained close to 15lbs without trying. Just depression eating, thinking it was over because I have struggled to do it on my on for so long. With my weight gain my Insurance approved me because my bmi is in a danger state. I am not suggesting that you gain at all! I will keep you situation in my prayers.

To a certain extent, if you will have loose skin, you will have loose skin. It will firm up some, but if your skin was damaged from your weight gain, it can't heal itself. It can shrink up some, but won't gain elasticity if it was lost. Light weight training can help, I've heard, so can keeping your skin moisturized, to help the collagen and elastin. The places where you have stretch marks- those are marks of the elasticity of your skin being damaged. I know I'll always have loose skin in those areas, unless I have cosmetic surgery. My calves will be fine, but my upper arms, thighs, belly and breasts will be loose and saggy.

Okay, so don't learn to use the VSG just band it and control it that way? If that doesn't work I guess wire the jaw shut shold pretty much nip in the bud and no weight gain a all. This is getting out of hand.

Hi Everyone! I'm Sarah and I'm being sleeved on the 22nd!!! And I'm like most other people been heavy my whole life but it really skyrocketed when I got pregnant with my first son who is now 10. I gained 100lbs with that pregnancy and I was sure I would be having a 70lbs baby lol. Needless to say he wasn't. So I lost like 30-40 of that and then got pregnant again and I was doing great at keeping the weight gain minimal until they found a tumor in my spinal cord. So I had to have major surgery at 5 months pregnant and then had to learn to walk again and so then the weight piled on again. I was around 275 when I gave birth the second time. Then for the next 7 years I lost and gain the same 50lbs over and over again. We then decided to have one more baby and I wanted to be done having babies at the age of 30. I was 20 with my first one. So at 29 I gave birth to a beautiful baby girl on 11-11-11 at that so she has a unique birthrate. But I gained around 30lbs and was right around 315-320 when I had her. So now I'm done having kids and I'm doing something for myself. I am currently 31yrs old, 5'3", and 300lbs. I can't wait to start losing and getting the old me back!! I am setting 25lb goals. I think they might be easier to achieve but ultimately I would like to be around 150-145. Good luck to everyone!!!

To the weight loss surgery patient slider foods are the bane of good intentions and ignorance often causing dumping syndrome, weight loss plateaus, and eventually weight gain. Slider foods, to weight loss surgery patients, are soft simple processed carbohydrates of little or no nutritional value that slide right through the surgical stomach pouch without providing nutrition or satiation. The most innocent of slider foods are saltine crackers, often eaten with warm tea or other beverages, to soothe the stomach in illness or while recovering from surgery. Understanding Slider Foods The most commonly consumed slider foods include pretzels, crackers (saltines, graham, Ritz, etc.) filled cracker snacks such as Ritz Bits, popcorn, cheese snacks (Cheetos) or cheese crackers, tortilla chips with salsa, potato chips, sugar-free cookies, cakes, and candy. You will notice these slider foods are often salty and cause dry mouth so they must be ingested with liquid to be palatable. This is how they become slider foods. They are also, most often, void of nutritional value. For weight loss surgery patients the process of digestion is different than those who have not undergone gastric surgery. When slider foods are consumed they go into the stomach pouch and exit directly into the jejunum where the simple carbohydrate slurry is quickly absorbed and stored by the body. There is little thermic effect in the digestion of simple carbohydrates like there is in the digestion of protein so little metabolic energy is expended. In most cases patients in the phase of weight loss who eat slider foods will experience a weight loss plateau and possibly the setback of weight gain. And sadly, they will begin to believe their surgical stomach pouch is not functioning properly because they never feel fullness or restriction like they experience when eating protein. The very nature of the surgical gastric pouch is to cause feelings of tightness or restriction when one has eaten enough food. However, when soft simple carbohydrates are eaten this tightness or restriction does not result and one can continue to eat, unmeasured, copious amounts of non-nutritional food without ever feeling uncomfortable. Many patients turn to slider foods for this very reason. They do not like the discomfort that results when the pouch is full from eating a measured portion of lean animal or dairy protein without liquids. Yet it is this very restriction that is the desired result of the surgery. The discomfort is intended to signal the cessation of eating. Remembering the "Protein First" rule is crucial to weight management with bariatric surgery. Gastric bypass, gastric banding (lap-band) and gastric sleeve patients are instructed to follow a high protein diet to facilitate healing and promote weight loss. Bariatric centers advise what is commonly known among weight loss surgery patients as the "Four Rules" the most important of which is "Protein First." That means of all nutrients (protein, veggies, complex carbohydrates, then fat and alcohol) the patient is required to eat protein first. Protein is not always the most comfortable food choice for weight loss surgery patients who feel restriction after eating a very small amount of food. However, for the surgical tool to work correctly a diet rich in protein and low in simple carbohydrate slider foods must be observed. The high protein diet must be followed even after healthy body weight has been achieved in order to maintain a healthy weight and avoid weight regain.

Maybe he will come around and embrace the healthy choices that come with your surgery and the new you. I have been very overweight for most of my life with the exception of my multiple huge weight losses followed by huge weight gain. My wife is thin and could have dated and married anyone she wanted (as I had been told by her family and some of her former friends), but fell in love with me. She has been with me every step of the way through several serious and in one case life threatening illnesses and surgeries. When I started this process it was her who went with me to seminars, doctor appts, post op support groups. She spends many nights up late researching recipes, foods and supplements. Our relationship has been further cemented by "our surgery and journey" ( her words). We will be celebrating our 25th anniversary next month, and I am looking forward to being a hot stud for her. She is also looking forward to me to turn a few heads as well. This is just to say if you have a great relationship, things can only get better and nothing has to change for the worse. Sent from my iPad using VST

I should add that my weight started coming on when I hit 53 then I started attempting MRC, HCG, Nutri Systems, Jenny Craig, Optifast, and Weight Watchers (several times).Each attempt was soon followed with weight gain. But no more.

I am now at 7cc on 10cc band I'm still not losing weight, gained 3lbs. I'm giving up.

I think you have to look at your history. Do you feel you're pretty much "doomed" to weigh more? Tried diets? Have a strong genetic tendency toward weight gain? If you're pretty sure that *without* this surgery, you'll one day have a BMI of 40 or more...then why wait? Youll just have more to lose, a potentially harder recovery, and maybe co-morbidities. I know it's not an easy decision. I'm a bander to sleeve, too. In some ways, deciding to get the band was easier. BMI of 40 and absolutely miserable. I kind of felt like I had no choice. My BMI is 32 or 33 now (got down to 26 BMI) and I KNOW, without something, I'll be back to a 40 BMI. So once I knew the band needed to come out, the decision was pretty much made. Still not easy though...putting myself through a surgery and everything while still feeling mostly normal...kind of hard. So look at where you think you'll be in 5 yrs. Is it worth confronting your weight now or later?

Pammers I caan relate to that about the weight gain. I was 234 on the day of my surgery, and when I came home 2 days later, I was 244.! They must have put a lot of water and air in our stomaches to operate on. My Doc did tell me that he puts water around the stomache and then puts air in it to make sure that there aren't any leaks. So I'm just going to blame the weight increase on him, I certainly haven't been eating anything!

your feelings and emotions are spot on to how I feel. I get this! Our journeys are different but the core reasons for the weight gain and surgery are the same (plus the snacking and extras. I too eat pretty healthy meals but those dang extras get me everytime!) Good for you and good luck on your journey!

I'm Tammy (or Flutterby - the original name for a butterfly... ) I'm 45 yrs old, 5'8" tall. I weigh 295 lbs. My BMI is at 44.8. My first goal is 170 lbs. Ultimate goal is 137 lbs. I've struggled with my weight since my second child was born about 23 years ago. I tend to gain weight all over. Well, except my bust area (strange). However, in the last several years I have gained more in my belly. I look like I'm about eight months pregnant... Uggghh! Now, don’t get me wrong, I loved being pregnant and I adore being a mother, but I’m not having any more children and I’m ready to be able to lose all MY baby fat. The baby fat may have stayed with me, but I added a whole person’s weight to it. I need to lose half of my weight – a whole person’s worth. Only those who have been here understand how much that realization can hurt and disgust me. I have tried to lose weight by diet, exercise, supplements and programs just like so many others here. From Slim Fast, Cabbage Soup Diet, Herbal Life, fasting up to two weeks at a time,, Atkins, Low Calorie, Juicing Diets, Wheat Belly Diet, Gluten Free Diet, Gaps Diet, Hallelujah Diet, Mediterranean diet, Paleo Diet, HydroxiCut, Green Tea, many herbal supplements, OTC aids, a short span on prescription diet meds and thyroid medication and using vinegar as a diet aid. As I think about it, losing weight been a driving desire/force in my life since I turned 23. The endless weight loss/exercise and health-related books and internet ideas and “snake oil” type cures, well I’ve researched and attempted many of those as well. I've tried exercise alone, or in combination with diet plans. I've used 10 to 12 different exercise videos both aerobic and weight lifting combined with aerobics, walking, swimming, biking, stationary machines, free weights, machines like elliptical, treadmill, stationary bikes, etc. My results were sporadic and frustrating. I could stay with a weight loss or "get healthy" plan for months, sometimes even three years at a time but when I failed to lose weight at all or stalled with 10 or 15 pounds loss with hard work and high cost to sustain, I would slowly go back to eating my "normal diet". “Going back to my old ways” basically meant 70% healthy choices and still incorporating something new I learned, but I would stop resisting the dessert, the chips and dip, the popcorn with butter. I think the "extras" and "snacks" are one of my biggest weaknesses. I’ve also noticed in the last few months that I really do eat big portions especially when alone. I keep cooking for a big family and it’s only me and my teenage daughter at home to eat right now. No matter what, my weight has continued to climb the last 23 years. I get so sick of my failure to be able to control it or change it. Several times I have resigned myself to being fat. But as I got bigger and older, other things started happening to my health and I realized how much it affected my family and my ability to actually live life like I longed to. I kept thinking there had to be a "key" or a certain combination of things that would magically get my health back under control and I'd start losing weight. I had a sleep study done and found out I had severe obstructive sleep apnea. I was full of hope that using a CPAP would solve my problems because obviously I wasn't sleeping well with meant I wasn't getting proper rest. This in turn, I thought, surely meant it affected my metabolism and maybe perpetuated the problems with my weight. I considered that since I started gaining excess weight when my first marriage got emotionally and mentally and sexually abusive I might have been trying to be less desirable to protect myself from my husband at the time. I just wanted to be safe. I could write out that long story here, but suffice to say I got out of the marriage finally, after 16 years. What is frustrating is that even the strength and self esteem and “new lease on life” I gained by getting out of that marriage didn’t translate into the weight loss I should have or wanted to have and continued to try to have. So, was my weight gain or inability to lose it initially due to the stress of the bad marriage that involved sexual abuses? Maybe, maybe not. More likely it was also genetics and environmental (how I was raised nutritionally). Both my parents are obese and have struggled most of their adult lives trying to lose weight and now dealing with health problems related to being overweight. However I got here, I’m here. And I am so thankful and grateful that things have worked out for me to have this surgery. It’s such an answer to prayer and a dream come true. Honestly, I want this personally, but doing it for my family is a super-close second! One thing I am appreciative of is that I’ve probably learned enough about nutrition, vitamins, food, feeding a body, metabolism, weight gain concepts, healthy living and very interesting discoveries about foods like kefir, kombucha, barley green, apple cider vinegar, good water, food supplements, and the benefits of grass fed beef, range fed chickens & their eggs, and home grown vegetables to write my own book. However, since I’m having weight loss surgery – I doubt it would be deemed worthy of contributing to my health. It’s sad, but true. True because all these things didn’t “work” to help me lose weight. However, I do believe with all my heart that all I have learned will continue to be super valuable to feed my body right after I’m sleeved! My mantra has been, “If I don’t put myself first for once and lose the weight and get healthy, how can I be what my family needs me to be?” How can I truly give and serve and support and enjoy in my marriage and our children’s lives unless I first take care of me? Initially weight loss surgery can seem selfish and irresponsible. Only initially! In all truth, it is smart and right for me because it is what lines up with my vision of my future.

For most of us starting a WLS journey, bariatric surgery is vast, uncharted territory, full of unknowns. We long for a happy outcome – maximum weight loss with minimum problems. We listen to stories told by other patients with a combination of hope (to be as successful as they’ve been) and fear (that we won’t experience the side effects or complications they talk about). No one wants to be haunted by the specter of anxiety and dread, but I think a little bit of fear is a good thing. I don’t want fear to dominate my life, but without it, I’m likely to become complacent about my weight loss success and/or revert to the old, all-too-comfortable ways that made me obese in the first place. In small doses, fear keeps me on my toes. Like pain tolerance, fear tolerance varies from one person to the next. Perhaps I’m able to tolerate and use fear because my childhood and adolescence were so full of fear-provoking experiences. By the time I was in my late 20’s, I actually got a little thrill out of fear, possibly because it stimulates adrenalin production. There’s nothing quite like a knife coming at you to activate your fight-or-flight system, causing a perverse fear “rush”. At the same time, prolonged exposure to fear has also taught me to respect it. I don’t play with fear the way daredevils like Evel Knievel did, risking life and limb for the brief thrill of jumping 14 buses at a time with his motorcycle. But I do like the way fear can clear my mental field, forcing me to draw a line between important and unimportant. When the choice is survival or surrender, I’d rather choose survival. I’m not a quitter. When challenged, I’m going to fight back, especially if something precious like my health is at stake. If fear tends to paralyze rather than mobilize you, you may have to use your own compass to navigate a problem, or play follow-the-leader (provided you have a trustworthy leader) instead. Whatever you do, don’t give in. Giving in turns you into a victim (click here to read an article about victim mentality: http://www.lapbandta...-of-obesity-r79), which is not a position of strength in any battle worth fighting. And your health is worth fighting for, isn’t it? So, how can you make fear a working partner in your WLS journey? Let’s take a closer look at two of the more common faces of fear. FEAR OF FAILURE Somewhere between my first, mandatory pre-op educational seminar and my pre-op liver shrink diet, I became uncomfortably aware of a shadow that followed me everywhere. It was dark and scary, and even bigger than I was. It was my fear of failure. After decades of struggle – diets, weight loss, weight gain – I felt that WLS was my absolute last chance to be healthy. And after slogging through all those pre-op tests, evaluations, consults and procedures, I danged well was not going to fail this time. Since I had to admit that my weight management skills were sadly lacking back then (as amply proven by the number on the scale and the numbers in my medical files), the only option available to me was to become the most compliant patient my surgeon ever had (click here to read an article about patient compliance: http://www.lapbandta...g-deal-abo-r112). I had to believe that he and his staff knew what they were doing and would guide me well. I’m a very curious and often mouthy person, so I asked a lot of questions and did my best to understand what was going on in me and around me, but I spent very little time trying to second-guess the instructions I was given. That approach freed up a lot of time and energy that I was then able to devote to changing my eating and other behaviors in ways that helped my weight loss. FEAR OF COMPLICATIONS Compliance served me well I this area also. I can’t claim that I was never tempted to cheat on my pre or post-op diets or to test my band’s limits. I can’t claim that I believed I’d be forever exempt from the side effects and complications I heard about from other WLS patients. But when my dietitian told me (for example) that I’d be mighty sorry if I accidentally swallowed a wad of chewing gum and had to have it scraped out of my stoma, I quickly lost my interest in chewing gum. When I observed that many bandsters experienced certain types of side effects and complications after engaging in certain types of risky behaviors, I resolved not to follow them down the road of no return. Eventually I discovered that life after WLS can deliver some unpleasant surprises, just as in every other aspect of life. I had to learn some things the hard way, like: If you swallow a large antibiotic capsule that can’t pass through your stoma and slowly dissolves into a corrosive mess, you will end up in the ER thinking you’re having a heart attack (and end up with a big unfill). And no, liquid antibiotics don’t taste good, but they taste a lot better than the weight I regained after that unfill. Most of the mistakes I made were the result of impatience or carelessness, but I did my best to learn from those mistakes and keep moving on. A handful of mistakes was about all it took for me to decide not to challenge the validity of my surgeon’s and dietitian’s instructions, and that kept me trudging along the bandwagon trail, getting ever closer to my weight goal. And once I reached that wonderful place, I was determined to stay there!

Are you afraid of an unhappy outcome of your weight loss surgery? You're not alone. Use your fear to conquer obstacles rather than letting it conquer you For most of us starting a WLS journey, bariatric surgery is vast, uncharted territory, full of unknowns. We long for a happy outcome – maximum weight loss with minimum problems. We listen to stories told by other patients with a combination of hope (to be as successful as they’ve been) and fear (that we won’t experience the side effects or complications they talk about). No one wants to be haunted by the specter of anxiety and dread, but I think a little bit of fear is a good thing. I don’t want fear to dominate my life, but without it, I’m likely to become complacent about my weight loss success and/or revert to the old, all-too-comfortable ways that made me obese in the first place. In small doses, fear keeps me on my toes. Like pain tolerance, fear tolerance varies from one person to the next. Perhaps I’m able to tolerate and use fear because my childhood and adolescence were so full of fear-provoking experiences. By the time I was in my late 20’s, I actually got a little thrill out of fear, possibly because it stimulates adrenalin production. There’s nothing quite like a knife coming at you to activate your fight-or-flight system, causing a perverse fear “rush”. At the same time, prolonged exposure to fear has also taught me to respect it. I don’t play with fear the way daredevils like Evel Knievel did, risking life and limb for the brief thrill of jumping 14 buses at a time with his motorcycle. But I do like the way fear can clear my mental field, forcing me to draw a line between important and unimportant. When the choice is survival or surrender, I’d rather choose survival. I’m not a quitter. When challenged, I’m going to fight back, especially if something precious like my health is at stake. If fear tends to paralyze rather than mobilize you, you may have to use your own compass to navigate a problem, or play follow-the-leader (provided you have a trustworthy leader) instead. Whatever you do, don’t give in. Giving in turns you into a victim (click here to read an article about victim mentality: http://www.lapbandta...-of-obesity-r79), which is not a position of strength in any battle worth fighting. And your health is worth fighting for, isn’t it? So, how can you make fear a working partner in your WLS journey? Let’s take a closer look at two of the more common faces of fear. FEAR OF FAILURE Somewhere between my first, mandatory pre-op educational seminar and my pre-op liver shrink diet, I became uncomfortably aware of a shadow that followed me everywhere. It was dark and scary, and even bigger than I was. It was my fear of failure. After decades of struggle – diets, weight loss, weight gain – I felt that WLS was my absolute last chance to be healthy. And after slogging through all those pre-op tests, evaluations, consults and procedures, I danged well was not going to fail this time. Since I had to admit that my weight management skills were sadly lacking back then (as amply proven by the number on the scale and the numbers in my medical files), the only option available to me was to become the most compliant patient my surgeon ever had (click here to read an article about patient compliance: http://www.lapbandta...g-deal-abo-r112). I had to believe that he and his staff knew what they were doing and would guide me well. I’m a very curious and often mouthy person, so I asked a lot of questions and did my best to understand what was going on in me and around me, but I spent very little time trying to second-guess the instructions I was given. That approach freed up a lot of time and energy that I was then able to devote to changing my eating and other behaviors in ways that helped my weight loss. FEAR OF COMPLICATIONS Compliance served me well I this area also. I can’t claim that I was never tempted to cheat on my pre or post-op diets or to test my band’s limits. I can’t claim that I believed I’d be forever exempt from the side effects and complications I heard about from other WLS patients. But when my dietitian told me (for example) that I’d be mighty sorry if I accidentally swallowed a wad of chewing gum and had to have it scraped out of my stoma, I quickly lost my interest in chewing gum. When I observed that many bandsters experienced certain types of side effects and complications after engaging in certain types of risky behaviors, I resolved not to follow them down the road of no return. Eventually I discovered that life after WLS can deliver some unpleasant surprises, just as in every other aspect of life. I had to learn some things the hard way, like: If you swallow a large antibiotic capsule that can’t pass through your stoma and slowly dissolves into a corrosive mess, you will end up in the ER thinking you’re having a heart attack (and end up with a big unfill). And no, liquid antibiotics don’t taste good, but they taste a lot better than the weight I regained after that unfill. Most of the mistakes I made were the result of impatience or carelessness, but I did my best to learn from those mistakes and keep moving on. A handful of mistakes was about all it took for me to decide not to challenge the validity of my surgeon’s and dietitian’s instructions, and that kept me trudging along the bandwagon trail, getting ever closer to my weight goal. And once I reached that wonderful place, I was determined to stay there!

I have 12 right now. Where the tat is located plays a major role in how it's effected. Places like foot, upper shoulder/chest, leg, lower arm, upper back, ankle won't be as effected. Hips, stomach, ribs, butt, boob will be more effected. If you got it prior to weight gain it would have stretched with your skin. If its in an area prone to lose skin it won't bounce back as well and may have more of the deflated balloon look. If you got it after the weight gain, it might look more distorted.

I worry about about this too. I have 5 tattoos. The one on my hip has stretched with my 2 pregnancies and 100lb weight gain.

I was concerned about a weight gain as well. They told me it was because of the IV given during and after the operation.

I had my band for nearly 10 years and in the beginning it worked but about the 4th year things began to change. Not only did I have to have some of the saline removed but I still continuing to throw up. So in between the throwing up and weight gain I was miserable. But I still kept trying to lose the weight. It has been a struggle but the best decision I could have ever made for myself was having the revision to the sleeve. I too had a lot of scar tissue from the band but my surgery was a success. The progress is slowly moving towards the positive and I am so happy. For those considering a revision to the sleeve don't be scared. This is the best option and I wish you nothing but success.

Well, I had a fill today post op after my port had flipped and I had corrective surgery on May 10th. I went for a follow up today. I gained two pounds! The doctor took one look at me and he said I had a fluid build up. He drained almost 16 oz of fluid out of me! Anyway, he said he gave me a fill during my surgery and I said I felt nothing, he decided to give me another fill today. Anyway, I was only able to hold down 1 Cup of food before I felt like I would start regurgitating. It was a good feel, not a restrictive feel but enough to let me know I'd had enough. My doctor is very conservative on fills and this time I think he hit the green zone because I'm comfortable and feel good that I can stop eating when I feel full. Before the band I would have eaten everything on my plate. Hopefully, a loss will show up on the scale. The doctor said that the fluid build up post op was a contributing factor in my weight gain of two pounds. A gain is a gain so I have to log that down and remind. Myself not to get discouraged.

I went to my LB support group last and the subject was Plateaus and and one of the comments is that sometimes a plateau will turn into an avalanche of weight gain. Now there is absolutely no logic in the world to the thought process that say "I'm not loosing, so I will gain weight instead", yet, I totally, totally have done that, as have many of the others on this forum. It is similar to the logic that we use that says, "I failed at one meal, so I might as well blow the whole day and eat like a pig". That is like saying, I made a mistake in my checkbook and I am 10.00 overdrawn, so I am might as well go out and buy a new TV! I walked away from the support group with reminded that much of what we are doing in our journey revolves around our mind, rather than around our stomach....Now if only there was a band for our brain BTW, I met a nice lady there who recognized me from the forums, but forgot to ask her user name.