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I had GERD, Gastritis, Esophagitis and Hiatal Hernia. All GI issues had to be diagnosed by a gastroenterologist. I had an endoscopy with Bravo (pH testing), esophageal manometry, and barium swallow tests completed before Aetna approved my surgery. I had weight gain, but wasn't in the Obese range, so that didn't factor in.

as usual, I totally agree with Jaelzion. the first year or so most people do have lowered hunger and most of us are pretty gung-ho about following our programs, and as long as you do that, the surgery WILL work. You have to really monitor yourself for life, though. After a year or two, you're dealing with the hunger monster again (although for some, it's not as intense as it was pre-surgery), and you're not always as committed as you were that first year ("diet fatigue"), so weight gain is easy if you don't watch yourself. if you find yourself dealing with the urge to binge eat again, then like Jaelzion said, work with a therapist. The surgery won't cure that. A lot of us work with therapists and find it helpful.

I'm surprised. I've been lurking for a while and I haven't seen anyone with a low BMI be blasted. 2 cents: How many of us wish we would have stopped the weight gain at 190 by getting the lap band? I think if any one of us who would have known what we know now, would have gotten banded. I firmly believe in my own case, the issue is not about getting a measly 50 pounds off, it's about fighting for the rest of my life to get it off. If it were a perfect world, I'd come to terms with my eating and what causes it. But it's not perfect and I may never really master it. I just need a tool that will help me cope with the ramifications of it while I deal with the emotional aspect of it. I think the band is a great tool for anyone who may be spiraling out of control. To say I wish I was that BMI is pointless because when YOU WERE you didn't stay there or take care to stay there right? I think it's a brave thing when someone sees where the road is heading and takes measures. If I could back to when I was 190 lb. and the band was around I would have gone for it...

Conquer Even Your Nastiest Cravings! by Bridget Kelly eDiets Senior Writer Do you eat healthful, balanced meals all day long until 4 p.m. or so, when a sudden and irrepressible craving for rich, dark chocolate or salty, crunchy chips strikes? Does your mind consistently wander to that pint of coffee-chip ice cream, tucked away behind the frozen broccoli, an hour or so before bed? Lately, a popular theory attests that craving a particular food means you must be deficient in one of its ingredients. For example, you might believe that hamburger hankering is due to your need for the Iron in red meat. But what's really behind those seemingly uncontrollable cravings, and how can you get a handle on them before they wreck your diet plan? While some cravings may indeed relate to a need for certain nutrients (as you'll see below), employing this reasoning as a blanket justification for nibbling on foods that are packed with fat and calories will only result in one thing -- weight gain. Many doctors and nutritionists dispute the claim, citing a lack of good evidence, and raise a solid point: If you're truly deficient in iron, say, why not crave other iron-rich foods, such as spinach or black Beans? When it comes to food cravings, researchers believe there are other biochemical and psychological processes at work. And they agree that understanding the cause behind a certain yen is the key to prevention. So follow these basic strategies for staving off any kind of craving, then identify your specific food lust and learn how to stop it in its tracks! Dodge the desire: Be a grazer. Nutritionists suggest that eating several small meals throughout the day (or three meals and a few light, low-fat snacks) can help to prevent cravings later in the day. Choose high-Fiber, low-fat foods to keep hunger at bay longer. Go cold turkey. Some research has shown that completely giving up a particular food can result in losing a taste for it. According to Elizabeth Somer, M.S., R.D., author of Food and Mood (Owl Books), the longer you go without eating a particular food, the less you'll crave it. Get distracted. When you feel a craving coming on, do something that will get your mind off of it. Go for a walk or make a phone call. After 10 minutes, you may notice that the craving has passed. Fast fixes for the top four cravings Although we all have our favorite must-have foods -- ranging from pickles to pastries -- there are some common threads when it comes to the provisions we pine for. Here, identify the type of food you desire, then read on to conquer that craving. The craving: sweets If visions of Cookies and ice cream dance in your head, what you may be craving more than the sugar in these foods is the fat that provides their texture, taste and aroma, according to Somer. Several studies have shown that fat and sugar may release endorphins into the brain (neurotransmitters that can produce a feeling of pleasure or euphoria). This hypothesis may explain why people crave that sweet, creamy taste -- it produces a pleasurable feeling. The solution: Guess what? Good old-fashioned exercise also appears to boost levels of endorphins (they're the same substances credited with the so-called "runners high"). So next time you feel like biting into a chocolate-covered ice cream bar, lace up those walking shoes or hop on your bike instead. You'll get the same pleasing feeling and the benefits of doing something good for your body. If you're on the job or unable to get immediate fitness gratification, you can still get the creamy taste and texture you yearn for from low-fat yogurt or cottage cheese with fruit. The craving: salt According to Somer, many women experience salt cravings related to premenstrual syndrome (PMS) since fluctuating levels of estrogen can interfere with the normal salt concentration in the body. Unfortunately, cravings for salt often result in the consumption of foods that are not only high in sodium -- dangerous for anyone with hypertension -- but also heavy in fat (think chips, French fries, pizza). Some studies have shown that people who are deficient in Calcium crave salt more frequently than those who are not. And Somer suggests the desire for salty foods, such as chips or pretzels, may have more to do with the wish to crunch than the actual salt. The solution: Try upping your calcium intake (which will also benefit your bones) with low-fat dairy foods or leafy greens. And reach for crisp, fresh, munch-able foods, like baby carrots or bell pepper wedges -- they make great stand-ins for that pretzel or chip crunch. If you can't forgo the salt, eat just one serving of low-fat, whole-grain pretzels. The craving: carbs Cravings for simple carbohydrates are most frequently associated with times of stress. The explanation behind this relationship? Carbohydrates found in such foods as crackers, breads, unsalted pretzels, and animal crackers have been shown to help boost levels of the neurotransmitter serotonin, shown to produce a feeling of calm and well-being. The solution: Anything that relieves stress can help to inhibit these cravings. Try deep breathing techniques, yoga or simple exercise instead of resorting to the refrigerator. When you feel the need to feed, go for Snacks of complex carbohydrates, such as yogurt or vegetables, which can help fend off cravings for simple carbs. The craving: chocolate They don't call them chocoholics for nothing. While it could fit into the "sweet and creamy" category by most definitions, chocolate's complexity and the fact that it is the most commonly craved food among Americans, according to Somer, earns it a class unto itself. Chocolate is the most difficult of foods to explain. According to researchers at the University of Arizona who last year conducted a review of the current research on chocolate cravings, the sensational combination of the fat, sugar, texture, aroma and several ingredients with addictive properties similar to those in psychoactive drugs, are most likely responsible for chocolate cravings. The researchers also suggest that these cravings can be a result of a magnesium deficiency. The solution: Uncompromising chocolate addicts may balk, but keeping other magnesium-rich foods, such as raw soybeans (a.k.a. edamame), on hand can be a quick fix. In cases where the longing is not due to magnesium deficiency, there's not much else that will fulfill cravings for chocolate, Somer says. She suggests sipping a cup of warm, low-fat cocoa, or plunging fresh fruit, like whole strawberries, banana slices and melon wedges, into fat-free chocolate syrup -- both of these approaches will add up to a lot less fat and calories than your average chocolate bar. The way you respond to food cravings just might make or break your success at weight loss and maintenance. Veering off from your eating plan occasionally will not be earth-shattering, but if you make a habit of giving in to your eating impulses, your moments of weakness will certainly catch up with you. The good news is, if you remember these tips you just might be able to conquer those pesky cravings. It will pass. Believe it or not, you can simply wait out a craving. Sometimes we may even mistake a craving for actual hunger. Playing the waiting game will help you distinguish between the two. If you still want something 20 minutes later, chances are you really are hungry. If you allow yourself a little time to take a pause before giving in, you may find the craving will disappear altogether. Get your mind on something else: take a walk, write in your journal, play a game. You may be pleasantly surprised to find time has passed and the craving has subsided. Drink up. A glass of Water, that is. While some suggest this is another method of "stalling" like the wait-it-out method above, you may find that drinking water satisfies your craving in and of itself. Sometimes we can mistake dehydration for hunger or cravings. Your body is telling you that you need something, and you assume it's food... take a chance and sip some H20, it may be just what you need. Give in... just a little. The bad thing about cravings is that when we give into them, we are giving in to an impulse. When you act impulsively you have lost some control. Which means you probably lose control of how much you eat, too. Take a moment to think about what you are doing. Try putting some scale. Never allow yourself to sit down with an entire carton of ice cream or a whole bag of chips. Take out a serving and put the rest away. Better still, purchase small portions to begin with. You will probably find that the first few bites actually squelch the craving anyway. Then, if the food is not already in your hands, you probably won't go back for more. Keep it real. You're a smart cookie. If you really want a chocolate chip cookie, that reduced fat fig bar is just not going to do the trick. Don't try to fool yourself. That's right, go for the "bad" choice. Remember "all things in moderation." Allow yourself to indulge in what you really want (just watch your portion size!) and you will not feel deprived. If you do not grant yourself this allowance, you are more likely to eat that fig bar and the chocolate chip cookie, because the former didn't really satisfy your craving.

thanks all for the responses and for understanding. Yes this is an issue for my psychiatrist but I'm an hour and half away from him, he's in Nashville and I'm Ky so it's not like I can jump in the car and make an appt and go see him on a whim. I have to do these things by phone. His assistant called today to ck on me and to see if the Depakote was helping and my response was :::"why in the world would he prescribe me something that causes major weight gain knowing I'm a wight loss surgery patient and on top of that due to my surgery I already am losing hair and this med causes that so no I'm taking it". she said oh, well, let me talk to him and call you back. Well, the day went on and never heard back from her. This is not like my dr, I've been with him for 7 yrs, love him to pcs, he's been there with me thru ups/downs and my separation/divorce but right now I am kinda peeved no one called me back today. On the otherhand my medical doc mentioned Lithium in a low dose...torn between doctors here. All I know is I cannot continue being short fused with everyone including the freakin dog of all things, she doesn't know any better. Zingy, like you I don't take criticism very well either or I take it to heart or wear my emotions on my shoulder so to speak. Thank you for sharing your story, it was brave of you. At least I'm not alone. Donna

A little straight talking: Loose skin versus your health & well being? Personally, I think it’s a simple decision. I have glaucoma & the medication gives me dark, purple shadows under my eyes which nothing will cover (spent a fortune on different concealers). I’m very fair & it’s very obvious. People think I’m sick. But my choice is dark, purple shadows or my sight. Sight wins every day. How much loose skin you will have depends upon many factors like your age, general skin elasticity, where you carry your weight, how long you’ve been at your weight, your history of weight gain & loss, & how much you lose. I don’t have a lot of loose skin - just sort of droopy, loose, crepey bits on my inner thighs, inner upper arms & on my belly. A good pinch but not a handful. It all hides well in my clothes. I wear fitted knit dresses without any type of shape wear & even wear tops with wide straps - I just don’t wave my arms in the air lol. I’m not someone who’d have my body on display anyway - no shorty shorts, bikinis, plunging or strapless tops for me at any weight. 😁 So the loose skin doesn’t really impact my clothing choices at all. I was almost 54 when I had my surgery so I had age against me in regards to my skin bouncing back. Honestly, when I hit my goal I had very little loose skin - was pretty cocky about it too. But the extra 11 kg loss gave me what I have now. I’ve decided I won’t have any surgery to remove the excess skin. I earned that skin & a part of me, for good or bad, thinks I deserve it too. It’s a good reminder of where I was & where I am now. But it is your decision. We all have things that are personally important to us (for me it is my hair). I hope I haven’t belittled yours.

My thoughts are with you and your family. On getting back to weight loss, don't think the below as a weight loss diet because weight loss diets end. Then one returns to the 'normal' diet which results in weight gain. This is just the old habits reasserting. Get back on your post-op plan. Return to the good habits you learned during the early post-op months. Whatever you do now, it won't be fast weight loss, but if you are consistent you will get where you want to be. Then you need to continue on plan consistently for the rest of your life. If you're inclined increase your activity or even :gasp: exercise. Exercise is not my thing, but I am active(ish). Good luck, Tek

I am bipolar. I have to take 7 different medications. Not taking my medications is not an option for me. My medications do have the side-effect of weight gain. What the medication does is it turns off the brain's signal to tell me when I am full. That is where the band comes in. I have accepted that my medication has an effect on how fast I lose the weight. But I am still losing!!! So I rock!

I know this was addressed under the "Lapband Strugglers" thread, but I wanted to start a discussion about anyone's experience wih their past/present psych meds. How do you feel your experience with weight loss (before or after the lapband) has tied in? How to you deal with the side effects (if you have them)? I've taken a few different medications with different results. Paxil and Trazadone worked for a time but I gained about a pound a month while I was on that combo. The doctors warned me about that. That was especially frustrating because I purposefully increased my activity level to compensate, and the emotional blunting with Paxil was dramatic. Prozac didn't have the gaining side effect, but not the mood elevating side effect either! Finally, Wellbutrin, which I took for 3 years, was my most successful med. I was in an emotional place where I was motivated to be more active and, at the same time, it allowed me to at least maintain my weight. How's everyone else doing with theirs? Finding the right med can be such a harrowing journey, I wanted to put forth a place in this forum to reach out for help and validation. Also, please note that I am not purporting that psych meds that cause weight gain are some kind of blanket excuse for struggling with weight loss. I regret I have to make that explicit. Psych meds are one factor that can make it tougher for some than others, and this is a place to discuss those experiences.

I have been on Cymbalta (90 mg.)for about 1 1/2 years and I have struggled with weight gain, but also take trazadone at night too. This did't help my weight!

I was on psych meds and didn't have any issues getting approved. However, I was told to work closely with my med provider to make sure my medications stayed at therapeutic levels as I lost weight. If you're not already, talking with a therapist might help. Also, FYI, part of the approval process for most insurances is a psych evaluation. And, as already stated, a lot of psych meds do cause weight gain. So that is something to consider for long-term success. One of the medications I was on contributed to a 60lb weight gain in a years time. Thankfully, I was able to find an alternative.

After waiting for 6 weeks I finally saw the Surgeon on July 22nd. He felt I would be a godd candidate for the Lapband. He wants me to take 2 Nutrition classes, get a Psychological Evaluation, a cardiac evaluation (I have no heart problems so not sure why) and bloodwork done. He also wants me to get with my PCP and find something other than Voltaren to take for the pain. Plus I need to get with the Pain management Dr to get off of Lyrica. It seems the Lyrica causes weight gain. I already had the Psychological Evaluation this week. Next Monday I can get the blood work done and Thursday will be the first Nutrition class. I will need to call for a Cardiac evaluation and schedule the 2nd nutrition class. When the Surgeon's office has all the evaluations I will be able to see him again, get a surgery date, final insurance approval and attend the preop class. When I asked how many more weeks he stated about 6 to 8 weeks. So we are looking at a possible Sept surgery date. In the mean time on July 17th I had three Thoracic Facet Joint Injections in my spine and have been finally able to do things for the first time in over 10 years. I still have some pain but not the knife stabbing, take away my breath kind of pain. I am walking about 6 to 9 minutes with 2 canes where as before I could barely walk 1 to 2 minutes. Instead of rolling around on the desk chair in the house I am now walking. I have been swimming and in the hot tub as I can finally lift my leg high enough to get up the stairs. I have taken day trips down to Fort Lauderdale and loving every minute of the drive. I am finally living and not just existing. I just hope and pray the pain does not come back as I will be even more depressed and upset if it does. Till next time have a great journey!

After waiting for 6 weeks I finally saw the Surgeon on July 22nd. He felt I would be a godd candidate for the Lapband. He wants me to take 2 Nutrition classes, get a Psychological Evaluation, a cardiac evaluation (I have no heart problems so not sure why) and bloodwork done. He also wants me to get with my PCP and find something other than Voltaren to take for the pain. Plus I need to get with the Pain management Dr to get off of Lyrica. It seems the Lyrica causes weight gain. I already had the Psychological Evaluation this week. Next Monday I can get the blood work done and Thursday will be the first Nutrition class. I will need to call for a Cardiac evaluation and schedule the 2nd nutrition class. When the Surgeon's office has all the evaluations I will be able to see him again, get a surgery date, final insurance approval and attend the preop class. When I asked how many more weeks he stated about 6 to 8 weeks. So we are looking at a possible Sept surgery date. In the mean time on July 17th I had three Thoracic Facet Joint Injections in my spine and have been finally able to do things for the first time in over 10 years. I still have some pain but not the knife stabbing, take away my breath kind of pain. I am walking about 6 to 9 minutes with 2 canes where as before I could barely walk 1 to 2 minutes. Instead of rolling around on the desk chair in the house I am now walking. I have been swimming and in the hot tub as I can finally lift my leg high enough to get up the stairs. I have taken day trips down to Fort Lauderdale and loving every minute of the drive. I am finally living and not just existing. I just hope and pray the pain does not come back as I will be even more depressed and upset if it does. Till next time have a great journey! If you noticed the date, this was written in 2008. It is now 2015. The pain came back in a matter of months and the weight went all the way up to 390. I am starting over again in 2015 to be approved for the sleeve. So anything after this date is my journey for the second try at WLS.

Texas u made me smile. I just spent 40 minutes blogging about this very thing. I am sure your weight gain is temporary, if you believe the literature you read, you can gain up to 2-3 lbs in water in any given day and than turn around a lose it. Honestly what you ate yesterday has not had time to turn to fat, I think that is why I stay away from the scales and just go by measurements, Muscle also weighs more than fat. Good luck and stick to what works for you not what others suggest we are all so different.

Sorry this is so long. :-( I'm just starting my journey but wanted to just get this out. My BMI was 40.3 at my initial consultation. I want this, but I'm stressing about the thought of my BMI dropping below 40 and being denied by my insurance. I have to have a 40 BMI, do 3 months weight management, a nutritionist visit, 2 year weight history and. Psychologist appointment for my insurance qualifications. So the earliest my case will be submitted to insurance is October. I have health issues but none that qualify according to their list of co-morbidities. One member of the staff at the surgeons office said don't gain anything or you may have an issue with your insurance. Another member of the staff said my insurance won't cancel for a little weight gain. So I'm stressing and have a few months to continue stressing! Anyone been through a similar situation. Sent from my XT1585 using the BariatricPal App

I've got a cousin in Washington Heights....easy ride up to her on the A train...LOL. I hardly ever cook...who does in this city, right? Anyway, it's easy to put your own meals together...and healthier too. You can PM me so I don't bore others on this thread and I can give you some of my personal experiences. I know everyone has their own way of doing things, but I'm finding it pretty easy to do it this way and it gives me a nice variety which helps not get bored with the same thing all the time. Oh and I also eat out regularly as well. I just make some better choices when looking at the menu and I do fine. I'm literally 30 feet from the A train on 181. Just moved up here recently. Because of this I had to give up my dunkin donuts, Starbucks Snacks, and this crazy Irish restaurant all within the same one block radius. I'll miss them forever, but I'm just happy I am not going to be described at "the fat one". Guess what....the more weight you lose, the less important the dunkin donuts and other crappy foods become. Not to say you won't want it at times, but it feels so much better to be smaller then the fleeting feeling of eating something that tastes wonderful but isn't good for you. My friend calls it a foodgasm. Short, intense, and gone in an instant...LOL. Except the consequences don't go away in terms of weight gain and all the rest of it...high bp, blood sugar, cholesterol, etc. I was on hypertensive meds for years. No more. My sugars are normal as is my cholesterol. All good stuff.

Yes unfortunately the antipsychotics cause metabolic issues, such as lot of weight gain and increased cholesterol levels. Quetiapine, risperidone, mirtazapine all come to mind as some of the worst offenders, but all psych meds have this unfortunate side effect. Whether your surgeon wants to proceed, I can't say. Your weight loss may not be as effective as you expect.

we dont eat them in our house. this was an issue with my nutitritionist. she was really pushing them. i am 7 days post opt and doing fine. everything tastes weird from ketosis anyway. lol i use a natural Protein shake (plant fusion) and plain yogurt. i have small amounts of fruit. i'm not really into super sweet things anyway. i love chocolate.. eat the dark stuff. use small amounts of maple syrup and honey. bought coconut crystals to sweeten my ice tea after surgery. it has a low GI. growing up, my dad was fat, drank tons of diet pop, used saccharine in his coffee, even sprinkled it on french toast and pancakes. lost weight, gained it back, died at 56 from a second massive heart attack. they dont help much.

I can eat a lot! And can eat around the sleeve too. I do eat around 2 cups of food at dinner... can eat lots of salad...and junk and at other times get the breaks put on by the sleeve at very little food (may not even be protein) I have to write it all down and plan for healthy choices to keep on track. Restriction is a great tool, but will not keep me from gaining all by itself. I can def eat more now than I could at one year out. If you don't have the healthy eating plan in place, you may be caught in a weight gain cycle at some time. It has happened to the best of us at some point. The more tools in the tool chest, the better life you can build!

What a relief, Sherry! I'm so glad some definitive action was taken, and I understandhow nervous you are about weight gain, but face it, your health and well-being are first, then the weight loss can be taken up again after that. That's one advantage of the band, is it not???? HUGS to you, sweetie! We'll be here, like Dianne said, to hold your hand and encourage you, and remind you that your health is #1! Dianne, so glad to hear that your new position is fun and you enjoy it! I bet it's a kick to help other people who are just starting out! Yes, I do stay busy, but I like it that way, then I like some down time, and this way I'm in control of that! When I was teaching, I just had to say "no" to a lot of things I really wanted to do. Maybe now I say yes to too much, but I enjoy it! Tonight I'm going to a potluck dinner for Children's Ministry Council for our church...in fact, I've gotta put the stuffed pizza braid in the oven right about NOW! Hey Mandy, Betty, Patty, Eileen...and everyone else I left off the personals...will catch ya the next time! Hugs, Cindy

1st time post. Question: I would like to hear comments on how you decided that it was time to have the sleeve surgery. I first started looking into surgery in March 2015. I had my first appointment on March 25, it was the introduction and free information seminar. They were able to tell me that my insurance would cover me if we had 3 weight loss evaluations and march 25 was my first one of three. Then we had to provide them with a 3year history of obesity, which my PCP provided. Then I had to jump thru hoops to get all the testing done and pass them. My 2 of 3 ( April 29) appointment will weigh in, psych evaluation, nutritionist and exercise supporter. Along with blood tests, etc. My 3rd of 3 appointments is on May ,19 and will be my 3rd weight loss evaluation. And my pre-op with the surgeon. Typically they schedule surgery 3 to 4 weeks after this appointment. Am I getting nervous or is this too fast? I really hadn't been thinking about my weight for awhile because 7 years ago I almost died from pneumonia and contracted MRSA while hospitalized. I ended up with a poor immune system. And I was happy because I was alive and that I was getting better. Obviously I was eating a lot while I was happy and gained back 65 pounds. Plus my back problem flared up and the medications that I take for the nerve endings and the pain increased which caused weight gain. Partly because of the 65 lbs I gained. The only way I am comfortable is laying flat on my back in bed. I can't exercise because of my back. This has been a vicious cycle. So my husband and I discussed that maybe it was time to go to a free seminar. But March to June is just 3 months. Maybe I'm scared about my future eating restrictions. All our family activity's revolve around food. It will be so different. I know this is probably the only way for me to loose weight. Which will allow me time to meet my grandchildren, do activities with my grown children, travel with my husband in out retired years.

The reason why bariatric surgery is the most successful procedure for severely overweight people is because it resets your metabolic floor, to an extent. Normal dieting doesn't do that. Basically, if you're an identical twin and you gain to 350 while your sister stays at 150, if you diet your metabolism generally doesn't recover to match your sister's - you CAN diet down to 150, but to stay at that weight you'll have to ingest far, far fewer calories than your sister does to maintain and that means you feel like you're starving the whole time. It's a weird spooky piece of science that hasn't quite been cracked yet, but bariatric surgery seems to avoid that trap. That's why many of us get it; not just because we can lose weight and feel restriction, but because it means when we get to 150 we can ingest a reasonable amount of daily calories without gaining again. Your metabolism isn't at that stage yet, in fact your metabolism sounds like it's pretty manageable. And the issues you're describing sound psychological, like food addiction, or might be metabolic like PCOS. Both of those are manageable without surgery, especially if you're tackling it now when you're still young and close to a healthy weight. When people say they're having weight loss surgery to prevent getting ill or grinding down their knees, they're talking about something that is the logical trajectory of inaction from their current weight. You're not there yet, you're talking about the surgery to prevent getting obese and in turn prevent other complications. But you're not obese, so tackle that part first. It's called "weight loss surgery" for a reason, and is not "prevention of weight gain surgery" for that same reason. Don't get sliced up without exhausting all available options for managing your weight while you're still in a healthy range. This is not a quick fix and it definitely won't prevent you from eating enough calories to gain if you're still working through a food fixation. That's why YouTube is full of regain videos.

I haven't been sleeved yet, but I can speak to losing weight after pregnancy when you are already obese. My youngest daughter came as a surprise, and I already weighed 200 lbs at conception. I was terrified that I would gain the large amounts of weight had gained with my first two pregnancies 8 and 11 years earlier. Not only was I concerned from a vanity point of view, but more so for the well being of the baby, my own health and ease of delivery. So I was determined to keep the weight gain in check, but in a healthy way. And I managed to keep it to less than 20 lbs by eating healthfully (no empty calories!) and getting cardio in everyday. It worked! Weight gain was minimal and quite easy to lose afterward. And while I was still overweight, at least it wasn't made worse by the pregnancy. Have faith that you can do this...you are strong and in control. I mean really, look at what you've accomplished so far! Good luck and keep us posted!

I had RNY gastric bypass in 2002 with Dr. Callery in San Diego, ca. My insurance will not pay for a revision. In the last 3-4 years I have gained 45-50lbs. I want to have a revision, my pouch made smaller again and possibly more intestines removed. I had the surgery open and have a large scar. I had minimal to no issues with my first surgery. I have had a chronic back injury that now limits my exercise, hence the weight gain. (also, my poor choices at times). I will need to pay myself and need info, reviews on revisions any doctors in Tijuana have done. Thank you starting weight 9/2002 332lbs 9/2014 160lbs current 203lbs

That is a load of horse puckey, he's full of crap. They should know to expect weight regain. I had a slipped band that was removed. I went from about 280 (at removal, up from a low of about 215) to just under 350 in 7 months. It is not realistic to expect no weightloss to occur when you're waiting on a revision. For one, your body is wired to want to gain weight, especially if your complication resulted in extreme restriction. For two, no matter how hard you try, it's going to be really easy to slip back into bad behaviors eventually -- just because you can. I started eating a Breakfast sandwich every morning even though I wasn't hungry, because the novelty of being able to eat breakfast was just so awesome... and then it became a behavior. Here's my take. Maybe you can use some of these points to reason with your surgeon. regardless of weight, being banded has given you some tools that should help with success with the sleeve: core behavioral changes, and understanding of what the whole WLS process is like; an idea of the mental road coming; an ability to find balance rather than short-term deprivation, etc. with nothing in place to restrict intake, how are you supposed to maintain weight? It is proven that when you stop losing, your body makes it much harder than normal not to gain. So you're in a more volatile gain period, and have nothing to help you (mechanically speaking). You lost weight because you had a band, so what's his rationale for it not being OK to gain when the band is gone? When my band came out, I gained almost 20 lbs in a week. But I still felt restriction, and I was not eating much more than before surgery. What I gained was not fat. It was weight. I'd been so fricking dehydrated that the Water weight just packed on. Most people who have their bands removed are fairly dehydrated because of it. You're going to gain some weight, and it's a healthy gain (not fat gain, weight gain - hydration in this case) Instead of seeing it "if you can't do it on your own, you can't do it with the sleeve" (which, if that ws true, no one here would be anywhere near goal because I can pretty much guarantee that everyone here tried to do it on their own, yet here we are...) he should be seeing it as "you're that much ahead of someone doing this for the first time, so let's get you some help and get you healthy."