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Medications do throw a curve into the post sleeve process. HRT does not cause weight gain according to NIH studies but Hypothyroid does so i would start there with a doctor visit and blood test to insure your med levels are correct. after meds the most normal cause of the 2 hr hunger monster is simply sugar spikes caused by sugar or simple carbs like bread. Fat is the Macro that provides satiety (feel full) so make sure you have a healthy fat in your first meal of the day and low carbs.

The something worse has me worried for you. Are you safe? As far as the weight gain, your doctor isn't there to judge. Just be honest. And you are taking steps in the right direction by going to therapy and working towards getting your pill/alcohol consumption under control.

Hi all, I’m having a revision surgery done at the end of this month. I had the sleeve back in May 2016 and from that I have severe GERD/acid reflux as well as weight gain. Has anyone else had this revision done? Any thoughts...?

People who have undergone bariatric surgery know the weight loss battle does not end in the operating room. Months and even years after surgery, some weight can slowly creep back on. But this isn't a time to panic because now you have the tools to overcome a little setback and regain control of your weight. This time, you are in charge. One of the lessons you learn after weight loss surgery is that you are in charge of your health, diet and exercise program. The food no longer rules the roost--you do. The truth of the matter is no matter what the scale says, 110 or 310, everyone puts on a few pounds now and then. As a bariatric surgeon in New Jersey for more than 10 years, one of the biggest anxiety triggers for patients is weight gain. "That's it--it's over--I'm going to gain all the weight back." Of course that's not true. To get back on pace, I’ve listed a few essential steps to help get you back on track to dropping the pounds once again: • Go back to the beginning Post-surgery, you probably followed your healthcare team’s advice to the letter. But as time passed, and you looked and felt healthier, you may have started to deviate from those dietary and exercise guidelines. Pull out your notes and review the program guidelines that brought you this far. Get back on the scale once a week and fire up your food journal again. • Get thyself to the nearest support group ─ STAT Weight loss is a personal journey, but it doesn’t have to be a lonely one. Online support groups on BariatricPal.com are great secondary resources to live weekly or monthly groups with your bariatric doctor or hospital. There is support all-around you, reach out and take it. • Work it out Are you using the ‘too tired’ reason for missing a trip to the gym or 30 minute fast walk around the neighborhood? If you need energy, you know how to get it—get up, get out and get moving. “Too busy,” you say? Remember, only you can prioritize your health and wellness. You matter—make time for your health every single day. • Come to terms with the weight gain This doesn’t mean blaming yourself. Rather, be forthright about how and why it happened and pat yourself on the back that you’ve recognized it now—not later. There’s no need to beat yourself up. You have already done the hard part by recognizing some weight has crept back on. That in itself shows you are going to battle back. We encourage our patients at Sterling Surgicare to call us if they feel frustrated or defeated--everyone needs a pep talk now and then. Remember there are many people supporting you 24/7 in this effort. Life is filled with occasional side-steps and set-backs. It is part of making us who we are. Make a plan, regroup, recommit. You can do this.

Dr. Adeyeri, Thanks for this article for those of us (myself included) who can find the scale creeping up. It’s a good reminder to take responsibility and face reality instead of denying the weight gain or acting like we’re not sure why the scale is going up. Thanks for the great advice. Going back to the beginning always works. Reaching out for help at support groups and anywhere else is good, too, because it helps us hold ourselves accountable. I’d also suggest troubleshooting – sitting down to try to figure out where we might be going wrong. Small changes can creep in without us noticing beforehand, and make us gain weight. Thanks for the article!

About a million times so far. Especially after losing 8lbs this first week on my liver shrink diet. Sitting here thinking "Now... I can do this on my own, and at this pace, I could hit my goal weight without surgery." Then I remember every single failed attempt from the past, and my hormonal issues that have contributed to the weight gain, and all of the other factors. Then I un-second-guess myself. [emoji4] I'm nervous, but mostly that surgery goes okay and I come home safely to my family. Everything after that is something I know I'll acclimate to in time. This is all for a healthier me for my family, so that's what I always come back around to.

I was totally addicted to carbs. It was so bad that I could eat a pound of jelly Beans in an hour or tackle half a dozen donuts without a problem, except for the weight of course. My carb cravings caused many problems from back pain to acne, from weight gain to shortness of breath, not to leave out embarrassment when I realized that I had just emptied my host's candy dish or cookie tray all by myself. I got lucky and found a solution by changing my lifestyle. I'd like to hear from others about what they have done not to just conquer carb cravings, but to break the addiction. What did you do and how did it work? Hugh

Sadly, I noticed his weight gain as well.

Wow, you ladies are very impressive with your exercise. several years ago I did a step aerobic program with a DVD and it did shape me up, but I just ate all the calories I burned. Problem was when I injured my knee and had surgery, exercise stopped and the same intake of food did not. Big weight gain and still have almost daily knee pain. So while I want to get back to my 3 mile walk, which I enjoy, I don't want to use heavier exercise for weight maintenance. It's just not a reliable source of burning calories for me. But it sure makes losing weight harder without it. I don't know how women with a family fit it all in! Have to admire your dedication!

I was about where you are 4 days ago, but today is my 15th day post-op and I turned a corner (thankfully)! I feel amazing today, minimal pain and it's the last day I have be on Clear liquids. It was also my first day back to work! I'm not sure if you are on clear or full liquids? Clear liquids-drink broth, Protein shakes made with water, Isopure, SF/no carb Jello, SF/no-carb popsicles. Full liquids-Drink protein with almond or skim milk (Syntrax nectar is my favorite protein-no carbs, mixes well with water or milks), low-fat creamy Soups (such as low fat/low carb butternut squash Soup or tomato soup or cream of broccoli soup with the chunks strained out). I use Ideal Protein or Barwise products, but you can also make your own from scratch if you have time. Soft foods phase-eat scrambled eggs or tofu, low-fat cottage cheese, low-fat SF yogurt (use Fage Greek fat free for optimal protein with low carbs). Eat only 2 oz at a time. Do not drink 30 minutes before or after you eat to train yourself to eat slowly and fill on 2 oz. If you drink while you eat, you will eat more than you should and can stretch your stomach which will ultimately lead to slowed or stopped weight loss. Eventually this will become weight gain. Phase 4-lifelong phase is food you can tolerate, only 2 oz at a time, chew/chew/chew! No beverage 30 minutes before and after eating. Set a timer on your phone to help you. Journal everything you eat to hold yourself accountable. Please let me know if you want me to email you my post-op eating plan. All the best to you! It will get better and suddenly you will feel amazing!

@Panda333 I’m a sleeve five years out maintaining in the 130’s. I am type one diabetic. My surgeon suggested the sleeve because there are times, I need to eat sugar to raise my blood sugars. WIth the sleeve, my intestines are not altered, I don’t have dumping syndrome with sugar. I am now well controlled and hardly use insulin. I want people that are researching weight loss surgery to know, many of us have had no complications and have maintained years out. Weight gain or need for a revision does not happen to all of us. Do your research, trust your surgeon’s advice do what’s best for you. Any type of bariatric surgery may need a revision due to complications, surgery not performed correctly, eating to the point of stretching your surgery (big debate on this issue) Grazing/eating around your surgery, eating disorders, or simply not following your surgeons plan. Only my opinion: For some, the sleeve is the wrong choice for them. Things I wish people knew about the sleeve. Your sleeve restriction will become less over time. you can hold more food. (it’s not back to full size) Long term success will be diet and behavior change. Just because you have more space does not mean you have to eat over your calories and macros to gain weight. If your surgeon has diagnosed that you stretched your surgery. Get counseling before a revision to make sure you don’t stretch a second surgery. Your intestines are not altered with the sleeve. Most of us can tolerate sugar without dumping. If sugar is an issue for you, investigate surgeries that give you dumping syndrome. You will feel real and head hunger at times (true with any surgery type) Hunger is more manageable after surgery. age 45 day of surgery 2014 - age 50 2019

I am down another lb. 237 and am so excited. That is 12 since Jan. 15, 2011. I have decided that I will go get 1 cc (I had 4 taken out last April). I will go next Friday. I feel like the one will help me. I know I do not ever want to be sick like I was last year. I was desperate going into my 3 rd year anniv. I paid for that. No more speedy go fast marathon. I am choosing to go steady. I have also learned to stay away from high sodium stuff. Weight gain galore. Bought the biggest loser juliann protein choc. powder, had it last night. Very good. I did 1 cup ice, 1 scoop protein powder, 1 tbsp p.nut butter, 1/2 cup 1% milk and 1/2 cup water. I am proud of my self.

Hi ya'll. I had my lap band about 3 years ago. I lost 80 pounds and was doing great. Then I had severe pain and had to have my gall bladder removed (and 3 stones that were stuck in my liver removed). After that I have had steady weight GAIN. I am so frustrated! I started at 320lbs, got down to 240 and now am at 300 again. Anyone know what I can do to reverse this??? I also moved to West TN and had to see a new surgeon. There are no support groups, only 1 doctor an hour away. I really feel lost here.

It's like you were yelling out loud enough for me to get on line, and read your post. Today marks my 9th week of being banded. I see all the threads with so many people losing so much weight, and it makes me jealous... and oh so weary. I feel like I'm failing with this too. It's been a long crawl to today. My loss is about the same as it was after the first 10 days. I've gone thru 2 major infections, weight gain, and feelings of total frustration. I don't miss eating. I don't miss food. I don't miss hot meals. I don't miss bread, or cheesecake, or pasta. I miss feeling hopeful. I know this will take a year, and that at my age it's more difficult. I just wish I felt like it's really going to happen. To all of you with great loss, it's always good to let us know how you're doing it. If not for the forum, I wouldn't know much. When I spoke to my Dr this past week, about some of the things we all go thru - he acted like it was a news alert. Congrats to those of you doing well*

You should be done losing weight, so pretty much at your goal. And ideally you want to have maintained that weight for close to 12 months, though some people only wait 6-8 months. DO NOT rely on skin removal to result in any significant weight loss in and of itself. Yes, the skin that is removed will have some weight to it, but between months of swelling and at least several weeks of limited activity, you will likely see a weight gain post-op. By the time everything is healed up, the swelling has gone down, and you are able to exercise regularly again, at best you can hope for things to even out weight-wise.

Sleeve, 10 months, 5'5" 130. 5'4"- 136lbs calories 1200 to 1500 Protein 100+ Carbs. Whole wheat and plant based. Fuels my body for the activities I participate in. Type 1 Diabetic..Keeps my blood sugar from dropping. What exercise regimen frequency .Run 3 days a week an hour to an hour and a half. Strength training two days a week for an hour. What role, if any, has counseling or therapy played: Counseling..Helped with body issues. The weight change happened so quickly I needed time for my mind to catch up to my body. Advise. Stay connected to support what ever that looks like for you. Non of us are exempt from weight gain. Monitor your weight and adjust your eating and physical activity to stay in your weight range.

This will be my first blog here, so I'll briefly introduce myself to the world of blog-readers, though it may be small. I'm 29 (until a week from tomorrow) and I had surgery on March 6, 2009. I have an Allergan 4cc band placed in Juarez, Mexico by Dr. Jose Rodriguez. Before I decided to have the surgery, I was at my heaviest ever. Shortly after losing 30 pounds or so on Atkins, I started re-gaining weight very quickly; roughly 70 pounds in just a few months following my parent's breakup. Nothing had ever affected me as profoundly as when my parents split up - not even my own divorce. Anyway, one day at 272 (my highest weight) I realized I had fat hands, which I had never had in all my 25+ years of being overweight They were so plump that they dimpled in at the knuckles. I snapped and realized I had a closet full of clothes that didn't fit anymore, and ankle pain every morning when my feet hit the floor. I dreaded that ankle pain every time the alarm clock woke me up. I truly believe I had (have) a food addiction. I would go to McDonald's with my kids, eat my meal (often with dessert) and wait for my kids to finish so I could glean what was left of their happy meals. A couple of nuggets, an extra order of fries. I would eat it all, and it didn't matter if the fries were cold. I once confided in my good friend that I had a food addiction. She thought I was joking and we laughed about it, but deep inside I knew it was true and that I had to do something. I did a quick search for food addiction on the internet and I found a video advertisement of a young lady who had lapband. I thought she was so beautiful, and her story was so much like my own - heavy all her life. There are some things about having had the surgery that I hate. But for the most part, I love that I made the decision to get the band. For example, I hate that I told so many people because I can't stand when someone says, "You can't eat that, can you?" UGH!! lol. "Watch me!" :biggrin: If you're reading this and thinking about having the surgery, consider who you tell. Some people love to tell everyone, and they have that screw-you attitude. I'm not quite as resilient. I wish I hadn't confided in as many people as I did. Another thing is - be ready for criticism. People will tell you you're taking the easy way out. (Lemme tell ya - this is anything BUT easy. The band will make you confront demons you never knew you had. It will force you to think about everything that you put in your mouth. It will cause - at times - physical pain like you've never experienced. It will sometimes scare the heck outta you). Others will say "shouldn't you have lost more weight by now?" or "is it healthy to lose weight that fast?" "why don't you just get that thing taken out?" "I couldn't live with that thing inside of me" all with a sly attitude about them, of course. I had one friend who said, "well, I'm not big enough to have lapband, I just need to lose about 50 pounds," while she was (is) morbidly obese. I think this was her way of telling me she wasn't near as fat as me. In my part of the country, we have a name for those kinds of people - haters. What I love: I LOVE that I've lost nearly 40 pounds and I'm back to feeling like me. I LOVE that soon I won't feel like myself anymore because I'll be an all-new-to-me thin person! I've never been thin, and at my least-fat, I was 198 pounds. (After some serious weight loss, I celebrated breaking 200 by gaining it all back. Go figure.) I LOVE that I always only order the kid-size meal when we go out, and I can't finish it. Now my kids eat my leftovers. :thumbup: I LOVE that my ankles don't hurt every morning, and my clothes are starting to fit again. I LOVE that all the fat clothes I had bought to accommodate my weight gain are now too big for me. And for the first time in my life, I know I won't be fat forever. There is light at the end of this tunnel. I used to say that I was just destined to be a big girl. I LOVE that I don't believe that anymore.

I'm sure it depends on your insurance. If it makes you feel better, I put on weight for the first 3 months, then lost for the last 3(only minimally) and I just got approved yesterday! Oh, and my weight gain was slightly more significant than yours. I think the most important thing is to convince your doctor that you are really trying. If it was easy to have consistant weight loss, we wouldn't be in this situation!

I am addicted to the scale and have put it under my bed so far that I forgot where it was and when I really wanted to weigh myself for my weekly weigh in I had to climb under the bed. That caused me to notice how much I needed to dust. It's just not fair! Best of luck and don't worry about the slight weight gain. It will be gone in a few days as soon as that gas thing goes away.

Hi everyone. I've been snacking and sure enough I am 4 lbs. Heavier. I can bearly eat anything at meals, but have been eating a lot of yogurt. I bought desserts and I'm ashamed. Do any of you know of anyone who has done this. I had lost 31 lbs. In 1 month and I was so proud. I know what the weight gain is from, but I am constipated, too. I did not have this surgery, just to gain 4 lbs.back. I'm so sad. I was doing so well. I'm so sorry to whine. Will I be okay???

Different med's have have different effects on weight loss or weight gain. And they also effect every one differently too. Just talk with your doctor about your concerns about gaining weight from the change in meds. be sure to weight yourself when you start taking the new drug so you will have a true idea if you have gained anything. Just don't worry if your weight gains by a pound or two.

I was banded October 29, 2012. Initially I had went from 342lbs to 188lbs. I felt incredible. Over the last year or so I have been having major issues due to the band slipping twice. After the first unfill the band adjusted and went back into place. After the second time they unfilled it they refused to fill it again. Since then I have went from 188lbs to 265lbs and it is devastating to me. I finally spoke up to my surgeon and am now in the process of trying to get approved for the sleeve. When I was trying to gain approval for the lapland surgery it was a pain because even though I was huge, I had little health issues as far as a co-morbidy would go. I finally (BARELY) got approved. This is why I didn't think I had any options due to not having any current health issues. I am just uncomfortable and down on myself for it. The very sweet lady that is helping me get it approved through my insurance thinks even though I don't have any major health issues that due to all my issues( two slips) with the lapland, GERD and weight gain that I may not have a problem getting approved. I know I shouldn't have a problem getting it revised and having it removed. Wondering how hard it would be to have the actual sleeve approved. Anyone have any experience with what I am going through?

Hi Christie, what you are experiencing is a bit common. I've seen many come through here mentioning weight gains right out of surgery. It is from your IV fluids mixed with the trauma of your surgery. Right now let your main concern be getting all your fluids in, getting plenty of rest and being sure to get up and walking every so often. If possible, try to stay off the scales for about a week. I'm sure by then the weight will have gone and then some. No need to stress yourself more when logically the weight is not particularly fat related. Hugs!!!

So here I am speaking from the horses mouth..................I had my revision with Dr Garcia September 10th. He only charged me $500.00 to take out the band. IMO it would be the best decision to do it in one surgery. I had a small stomach hernia and he fixed it also for free. I had no complications and had the band for 5 years. There is nothing to "heal" if you have no issues with your band, don't risk the weight gain by doing two surgeries. You could probably have your surgery this year and be well on your way by cruise time.

I struggled with hunger horribly once my lap band was removed. Tried all sorts of medical interventions because my husband was not on board with surgery. After 9 months and a 30 pound weight gain enough was enough. 5 months out from sleeve, 55 pounds down now. Still love to eat, but am so relieved I am satisfied with a smallish portion.