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So good that you've found this forum - everyone here is so supportive. Sounds like revision is the right thing, particularly given your GERD. And congratulations on your new arrival (maybe not so new now?)!!! My pre-op diet was 2 weeks of 800 calories a day. I could do it whatever way I wanted. What I did was three meal replacement shakes or soups (or whatever) and a small protein and veg meal in the evening. I should say I live in Ireland so it's likely to be different for you. My original surgery date was cancelled the day before I was meant to have it and not re-scheduled for 2 months so I ended up sticking to the 800 calories (give or take) all that time and losing 25lbs. I now view those as pounds I don't have to work hard to lose now, although at the time it was absolutely agonizing waiting for a date!!! I wish you all the best on your weight loss journey. I think your experience with the sleeve and the challenges you faced along the way will really help you get the best out of a bypass.

it is really individual; but honestly 1/2 lb a day sounds great!! there is an average weight loss time period. most people loose a decreasing amount per month for about 18 months. In that time there will be times of both rapid weight loss, steady weight loss and stalls where no weight is lost or it fluctuates up and down within water weight range (8 lbs is a gallon of retained fluid) stick to your program, watch what you eat and get your body moving. build muscle as much as you can.

I was sleeved 12/22/2021. I haven't lost in 3 months. I take in about 800-1000 per day and go to the gym. I think it happens to everyone. I need to lose at least 50 more lbs. I think a lot of it is my age as I'm older than most on here. And yes, every one is different. You've done great! 85 lbs. is a lot of weight to lose. Good luck and keep hanging in there.

So, the $64,000 question that I'm sure all newbies want to know: how fast (on average) do most people lose weight after surgery. I know, I know, everyone's different, but surely there is a range. I lost very quickly before and immediately after surgery, but now that I'm about 6 or 7 weeks out, it has slowed dramatically (less than 1/2 pound per day). Is that common? Does it speed up and slow down and then back up and down (much like my investments 🤣)? I'm trying to lose another 50-60 pounds. Should I be thinking 6 months or 2 years? Thanks PS: I bet no one has ever asked this before. Sorry, couldn't find a thread on this.

Thanks for your response, but it doesn't matter to me if it's MLM or from the moon at this point. If, it works and helps me to stay on track without health risk, then I'm for it. Being over 2 years out maintenance and weight management is a constant for me. I have not been able to get below 188 since January. I'm at 184 today, Whew.. They weren't kidding when they said its mental as much as it is physical. The mirror is my biggest enemy still sometimes. Thanks again and I wish you well on your journey..Take lots of pictures..😍

I tend to gain 2-4 pounds anytime I hit a stall, and then I stay there for a few weeks. Once the stall breaks, I drop like 6 pounds at once. It's normal, and it'll pass. Just be patient.

I'm off the proton pump meds entirely, after taking them for more than 20 years. It was actually the voice doc who suggested weight loss surgery when I told him I'd like to get off the PPI meds. I don't think I have a problem in the lungs. My voice coach says I move more air than most of her clients, some of whom are experienced pros. For me, when I eat too much, I start sneezing. If overeat a little, it might be half a dozen sneezes. IF it's a lot, I might sneeze 20 or 30 times before I stop.

I also had a completely arbitrary goal of 120 lbs (it was the midpoint of healthy BMI range for my height). I called goal at 127 lbs instead because i felt I was looking too skeletor-ish. Like @Arabesque, i started to increase calories to stop weight loss, and was able to do so about 3-4 months later, but not until I lost a few more pounds and settled into 115. I was 118 even this morning, and i don’t look nearly as skeletal as i did when i was calling a 127 goal (i’m 4 years post op, btw). I basically eat whatever i want (luckily i don’t nor want too eat much anyway) and i dont feel food-deprived in any way nor exercise beyond what my lazy ass is willing to do (lol). But i am way more active than I used to be pre-wls. In a nutshell i can stay at my current weight with little to no effort given my current lifestyle. soooooo this is my long winded way of saying that weight goals are moving targets and that what u want/are satisfied with now may not be what you want/are satisfied with later. If you are satisfied with the efforts you are putting in (or not putting in) to sustain a weight, then, i say Goal Acheived.

THIS! I never will be able to, it will always be like that. As far as the OP, I did not know that you could revise RNY in a sleeve-like manner. I had to google it, and apparently it is a thing. Learn every day! Ha. The other thing you said about liposuction, though, I've been wondering about that. The occurrence of regain in those that have had some of their fat removed (through lipo or tucks). As much as I don't want to do more surgeries, I'm open to the idea of removing some of these fat cells when I'm at a maintainable weight as part of this process in keeping it off.

hi! I'm brand new here. I'm having RNY 10/31, so I made it into this group by a few hours!!! LOL I'm happy to have found you all. I started my weight loss back in April, and I've lost 37 lbs. I start my liquid pre-op diet on 10/17. I am so excited and so so so ready.

Hey guys, First post here. I feel like such a failure. I had the sleeve back in 2019. Got pregnant, then needed back surgery all before I hit the year mark. Let's just say I gained most of my weight back. I'm thinking about a revision because I'm having issues with gerd and my hernia. I went to a support meeting last night and the instructor suggested I try and go on pre surgery liquid diet again and see if I get the restriction back. Can anyone refresh my memory on what that looks like besides protien drinks?

Not to be alarmist, but are you sure it is real weight gain and not something causing you to gain water? I had this happen a number of years ago, where I was legitimately NOT eating enough to gain fat, but the scale was increasing. I was dealing with a heart issue at the time, and the weight gain was from that. I had to get on diuretics until my heart was in a better place. Again, not trying to be alarmist in any way, just throwing out that maybe something else is going on and it's not the PCOS. Perhaps you've become more salt sensitive? During the timeframe I noted above, I really had to become aggressive about cutting salt. Not so much anymore, but at that time it was like pouring gasoline onto a fire. It's just usually weight gain of that kind is water weight, unless you are gorging on food day in and day out.

I was asked twice in the last week whether I had lost weight on purpose - assume it's because my face is so much thinner. Gonna keep chugging on for a while yet - might be good insurance in case of a regain further down the line.

This hits home for me so much. My husband is also an alcoholic, with severe OCD. He works, he does all he should, but once 5:30 hits, he has to (in his mind) be sitting with his first drink of the night. He does the same thing, listing all the things I do wrong, and how I make him miserable. And ever since the day I set my surgery date, he has made a point to accuse me of cheating or that I will cheat because I will think I am better than him. He is not over weight, so I am not sure why he thinks that. Sometimes I want to throw my hands up. Instead I just rearrange my life to accommodate his insecurities, and taking away from my own success. It sucks...

Surprisingly well. No nausea, no throwing up. I’ve been slowly progressing with foods and now on pureed foods but I think it’s causing me to gain a few pounds 😞

I'm so upset. In the last 9 days I've gained 9 pounds!!! Nothing has changed with my diet and workouts. I take my vitamins like I'm supposed to. I never cheat on my diet, I work out 5 days a week. So I called my dietician and after we went over everything she said "remember when I told you that having pcos would cause you problems with weight loss? Well here it is. If you remember, you lost 100 pounds on keto and then the weight just started coming back no matter what you did? It looks like it's happening again." I literally started to cry, because nothing I did stopped the weight from coming back. I asked if I could do a pouch reset and maybe reverse it now and she said "you certainly can try, but you aren't gaining because of over eating or cheating on your diet. You're gaining because of a hormonal imbalance that seems to like you being fat". I don't know what to do. I had such high hopes that the surgery and weight loss would help improve the pcos, but it looks like, once again, it's out to sabotage me. I guess it's not enough that it caused me to have 10 miscarriages through the years, or need fertility meds to have my daughter, or never be able to get pregnant again after her. Now it won't let me lose weight and keep it off. I feel so defeated. All my hard work and once again, it's all for nothing.

21 lbs since surgery is awesome! I also had VSG on the 25th and I’m only down 12 since surgery. That includes a random gain after I added in semi-solid food, so I am still up from my lowest. I can tell that I have been retaining water. Not only do I see it, but I could tell with drinking and not going to the bathroom. I have been desperate for answers and what I have read is that you spend most of your first month dehydrated, even if you are getting in fluids. That a portion of the weight loss is water and that sometime during the first month your body makes an adjustment to rebalance fluid levels, causing a stall or gain and that eventually this works itself out. I went for a big jog thinking I would help myself and the next day I was not only sore, but 3+ up on the scale lol Now I’m just trying to drink as much as I can and trying to convince myself that there is no way you can gain fat weight from an average 600 calories a day!

Always remember, we all lose at our own rate. Some are slow losers while others lose more quickly. There’s no right or wrong rate of loss. Sure there are generalisations & averages but you should never use them to judge if you’re failing. It really is impossible to compare your loss in pounds or inches to anyone else. So many factors influence your loss. Body shape, skeletal frame, age, genetics, starting weight, where you carried your weight, general health, genetics, etc. As you lose more weight you’ll notice you’ll drop sizes more quickly. Sizes tend to differ by 2 inches. It takes a loss of more pounds to lose 2 inches around your body when you’re bigger than when you’re smaller. That lose ‘10lbs & drop a dress size’ only applies to people who are pretty much in a healthy body weight range to begin. Took me a good 10/15kg (30lbs) to drop a dress size & a bit when I first started losing. How much exercise you do is really personal. Yes, there are lots of benefits but, for most, exercise only contributes to about 10% of the weight you have to lose. Have 100lbs to lose, exercise will burn 10lbs. I didn’t really exercise at all & I lost all my weight & more. All I do now is some stretching, & use resistance bands. I wouldn’t burn 40 calories. Ha! But that’s me. You’ll get there but in your time.

As I said I think I kept losing until my body got to its new set point - thank you surgery. for me my new set point was at a lower weight than I’d expected (my goal was the lowest weight I would always bounce up from). Your set point will strongly influence your final weight. You can eat yourself above it but it takes a lot of effort to eat & exercise yourself below it. People often talk about getting too thin & looking gaunt but, apart from a couple of months while everything settled, I don’t look like a lost too much nor am I bony, I just look small. But then I am short & have a smaller frame & believe me I still have body fat. I’m talking to you thighs, hips & tummy! 😉

You seem to have a really cynical outlook on all of this. I, too, am a scientist by profession, and I've always been a bit of a pessimist, but I think sometimes, it's worth giving people the benefit of the doubt. It looks like you don't think your bariatric team has your best interests at heart. I know you've been burned before, and I also know what it's like to be constantly judged as stupid, lazy, noncompliant, untrustworthy, unworthy, etc. because of my weight, so I can understand your feelings about this, but don't forget that these are people who have devoted their careers to providing weight loss surgery. I'm not saying that they all genuinely care about alleviating the plight of the obese, or that they're sympathetic toward those of us in a position of needing this surgery, but I doubt there are very many medical professionals in the bariatric surgery field who are out to punish and criticize fat patients just for fun (or out of personal dislike of fat people). If for no other reason than their own self-interest, chances are that they want patients to succeed with weight loss surgery, and they are probably doing what they believe will contribute to their patients' success. Another thing to keep in mind is that sometimes people can be right for the wrong reasons. I've run into this in my own job, where someone has told me something that didn't seem to make sense, and I (as someone like you with an inquisitive mind) have gone looking for the real story, only to find that what I was told was correct, even though the reasoning was not. In this case, your dietitian might be giving you good direction even if she doesn't actually understand what she's talking about. Just because that dietitian (or even the whole bariatric team) doesn't know or understand the reasoning behind the rules, it doesn't necessarily mean that the rules are incorrect or arbitrary. Finally, if you hang around this forum for long enough, you will see that many patients want and need a lot of hand-holding. Some people would rather be given strict but arbitrary rules than loose guidelines. People are constantly on here posting questions like, "I had surgery X days ago; can I eat Y?" And honestly, considering that, I can't blame surgeons at all for wanting to make things as black and white as possible so they don't have to spend all their time answering these incredibly specific questions, tailored to each individual patient. Most patients are not medical researchers, and many want definitive instructions from their doctors. Many people would be paralyzed with indecision if they were told, "Some studies say X and others say Y; you figure it out." Ultimately, it's up to you to decide how closely to follow your surgeon's directions, and if you do your own research and believe you have found a better way, you can make that decision. But I would venture to say that you will likely have a better experience if you have a mindset of working WITH your bariatric surgery team instead of taking an adversarial approach.

I'm 4.5 months out from my surgery and at 5'2" I've lost 65 pounds so far. I've gone down from a size 22/20 jeans to a size 14 or in some cases even size 12. To put in perspective, my older sister who had the same surgery (RNY) a few years ago, also 5'2, had lost 45 pounds at the point I'm at. This shows how different weight loss is individually. In my case a lot is probably from nutritional issues and losing weight too quickly. That's an ongoing issue my team is still trying to work out. It's hard to get enough nutrition when you are full for the day after literally one bite of something in the morning.

Re: does it really matter I mean, yes. There are other possible bad outcomes besides literally dying. If the effectiveness of bariatric surgery comes down in large part to microbiomic changes, for example, suggesting that I remove all fiber from my diet until over 6 months post surgery and introducing large amounts of artificial sweeteners into my diet could in fact work against positive changes to the gut microbiome. If my ability to lose weight pre-surgery comes down to emphasising foods that extend satiety (fiber, protein, fat), dramatically reducing my fat and fiber intake before surgery could cause me to overeat or binge eat and my weight loss to stall or reverse. If long term success comes from following one's hunger cues, teaching myself to eat according to the clock they've set, whether I'm hungry or not, in order to meet arbitrary goals could limit my weight loss long term or trigger binge eating again. They're not suggesting I take a spoonful of arsenic at bedtime, but that doesn't mean that their suggestions are neutral. They have no systematic evidence that their program creates success for the average patient or not. (The great part of this sort of program, from the practitioner perspective, is that you can almost always blame poor outcomes on non-compliance.) Some of the program requirements for the pre-surgery diet are literally impossible to follow at the same time. I can't take one or two bean-sized bites per minute, finish meals in less than 30 minutes, and eat 2200+ calories per day without a significant portion of those bites being high fat meats, full fat dairy, or, I dunno, peanut butter straight out of the jar, all of which are verboten. So regardless of what I'm doing now, I'm not compliant. It's not possible to comply fully. (The handwavy answer was "healthy fats". I have no idea how much avocado my dietitian expects me to be able to eat. I suppose technically if I ate just chicken breasts with avocado and nothing else...) I'm also not the average patient anyway (it's probably pretty clear at this point that I'm not neurotypical, for example, I understand that people with regular would either comply or lie without much difficulty either way), so even if their arbitrary program did create success for the average patient for whatever reason that means very little for whether it would work for me. The arbitrariness and the ultimatum annoy me. The fact that I'm being asked to disregard everything I know about how I personally deal with change to adopt a post-surgical style diet (low-fat, regimented, and frequent) half a year before any potential surgery date with an intact GI system, that I'm expected to throw away everything I know about what I need to lose weight, stop binge eating, and have the energy to do intense exercise frightens me. I'm terrified that I'm going to gain weight or relapse into binge eating (thus getting denied for surgery) and I feel like they're pushing me into that direction. All because Typical Tammy deals best with gradually introduced changes over a long time period and simple, unambiguous, authoritative instructions from medical professionals she sees as trustworthy experts? Nah. I mean, I'm sure there are, but this is the only one I have access to. And, ultimately, it doesn't really matter, as long as I can jump through their stupid little hoops, I can get what I need from them. It's just.... a long and irritating process of circus training. I'm not really looking for advice or anything, I understand the options and am resigned to them, this is a rant and rave.

Thank you! I talked to my surgeon and he said as long as I didn't gain any weight from my original consult I didn't need any pre op diet. Just not to eat the night before. I'm getting scared the closer to the date. I just had a covid test I guess several are needed prior to the surgery date. I have my preop doctor's appointment on 10.6 then surgery 10.11. How are you feeling? Scared but excited.

Oh gosh I think it's human nature to compare ourselves to others in a similar boat! I do all the time, for good or bad. OP - 4.5 months after surgery I had lost 43lbs. I've gone on to lose 115 at just over 10 months so I think you're bang on target to reach goal. I wish you all the best on your journey. I have also noticed that weight loss and changes in clothing size are absolutely not linear - there are times when I have lost lots and not gone down a size like *forever*, and vice versa.

Please don't take this the wrong way, but if there's one thing you'll here on this site perhaps more than any other it's this: don't compare yourself to others. There's nothing good that can come of it. Even if you found someone that was your exact same starting weight, height, and even had surgery the same day, there are still way too many other variables that could impact your progression. Just some examples: age, physical fitness, %body fat, basal metabolism, diet, bougie size, surgical complications, etc. Honestly, it sounds like you're doing fine. If you're not happy with your loss so far, talk with your bariatric team. They may have suggestions for you such as increasing the amount and type of exercise and/or changes to your diet. Best of luck!