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Hi all, so glad they added this forum! I was sleeved in 2017 and lost 90lbs. Unfortunately I experienced great loss and trauma in 2019 to recent and find myself meeting the criteria for weight loss surgery again. I’ve done a lot of work on myself since and learned how to cope without using food. I’m starting the approval process for a revision on 11/19/20. Anyone on here get a second surgery due to weight gain? I know they do revisions for GERD and other issues but I want to hear from anyone who had a revision for gain. Did you sleeve to bypass? Resleeve? Sleeve to DS? Bypass to...? Did insurance cover it? Make you do a diet program first? Did it take months? tell me all the things!

Ahh, my surgeon is different on pre-op diet than others. It’s 4 weeks and 800-1200 cal/day, low fat, low carb and sugar free. I’m one week in and was dying the first several days :). I’m glad your a pro at this!! Sorry about the weight gain and GERD. That is hard! Hopefully this will be the answer to both problems. I too hope for our group to be a huge help and support. Keep me posted, I’m anxious to know how you’re doing. I think it makes me feel less scared of surgery. I’ve had multiple surgeries, as a result I am dreading this surgery. Probably more then I should. I should be an old pro by now, instead I’m a scaredy-cat 🤦🏼‍♀️ 😹 😸!

I'm sure someone more experienced than me will be along soon to advise, but in the meantime.... First of all, give yourself a hug and a pat on the back for weighing in and recognising your problem. In years of yo-yo dieting the hardest thing I found was often steeling myself to go back on the scales and see what damage I'd done to my weight. The logical thing would seem to be to take some time to write down honestly what you are doing/not doing that is causing the weight gain. You lost a lot of weight in 2012 so you know what you should and shouldn't do. It's important to be honest with yourself. Then work out how you can address each issue. The easy thing to say would be: "go back to an 800 calorie a day diet for 4 weeks on protein shakes and then calorie count at maybe 1220 pd to lose the weight you've gained". But to do that you are going to have to counter the things that put obstacles in your path i.e. eating through stress/boredom; lack of time to plan etc etc. You've done it before, you can do it again.

I had the RNY bypass only last week but had been thinking about wls for some time. My husband was exactly the same as yours - very anxious about the risks of the operation and not understanding why I couldn't just lose through dieting as I had in the past. Anybody who has not been obese/morbidly obese almost certainly doesn't understand the issues around weight gain/loss for those who are. I had various co-morbidities and once I decided that I was going ahead with the surgery, just powered through his anxieties by saying I'd rather die of the surgery than spend 10 years having limb amputations due to diabetes. The day before my surgery somebody recommended to me Dr Matthew Weiner's book - How Weight Loss Surgery Really Works - and I read this immediately before my surgery. It validated all of my decision making and I highly recommend reading it if you're undecided about the surgery. If you, like me, are a yo-yo dieter who can lose weight on a diet and then gradually regains it all - it will resonate with you and give insights. Good luck with the decision making!

Let me add my point of view. Surgery is not the solution it’s a tool. Those same issues you lacked self control over pre surgery will be there post surgery. You must be willing to put in the work to optimize your tool. I’m close to 11 years post op. I went from 384 to 210 with my surgery. 6 years in I stalled and put in the work myself and went from 210 to 164. How did I do it? I spent time in counseling. Learning how to love me. Resolving issues that caused a negative relationship with food. Every once in awhile they will pop up. But investing in healing has saved me. I didn’t need a cheerleader in the process. I needed someone to hold me accountable. I didn’t want sympathy for making the decision to eat crap. Call me out on my sh*t. I got rid of those who wanted me to fail and created a healthier circle of people who wanted me to succeed. I recently put on 20 lbs. I didn’t get depressed. I earned every pound gained. I knew where I slacked. I let Coronavirus get me. I owned it and set a plan that didn’t include starving. Currently down 10. Clothes fitting again. Plan to be back at goal by Thanksgiving. The decision to have surgery is extreme. And it’s going to take extreme responses to give you a reality check. The reality is you’re going to have to put in the work to lose the weight post op. And that requires being called out on behaviors that may have need brushed under previously. It’s hard but it’s needed. Hit me up anytime on IG: @bariatricbutterfly. I work with women atleast 3 years post op experiencing weight gain and want to gain control on working their tool.

Mount Monadnock in Jaffrey, NH. Had hoped for an even nicer view, but weather conspired to keep it very cloudy in the morning and the summit was smack dab in the middle of the low-lying clouds. Last time I'd been up there was 26 years ago. I did not remember it being quite that much of a trek back then. My legs are still sore as heck. Up and down was a total of 2200 calories burned. And yet, I managed to gain 2.8lbs on this morning's weekly weigh in. Color me less than happy about that. First weight gain since February. Here's hoping things start moving in the right direction for next week!

Maybe just pick one or two things to focus on each week to get going in the right direction? I know when I try to change everything all at once I get really discouraged. A place to start could be focusing on water intake. Remember right after surgery when we were told to sip sip sip water all day? It helps keep hunger at bay, and cuts out the extra calories we take in when drinking things other than water. I swear there is some truth to artificial sweeteners causing weight gain! I switched from my diet pop addiction to Crystal light, but realized for some reason constantly drinking something that tasted sweet, even though calorie free, was having negative effects on my progress. Then maybe the following week you could focus on getting protein at each meal and eating it first. Other ideas for weekly changes could be to journal food intake, packing a healthy lunch (even when working from home, it helps to have it in the fridge and waiting), and/or taking a quick 15 minute walk 3-4 times a week. The main thing is just focusing on one new thing at a time! Good luck to you.. You got this!!

I am looking for revision due to GERD and a little weight gain back from sleeve. My GERD is so bad I have been waking up choking on it. I called BCBS to ask them their requirements and the woman referenced me to a page in the book that clearly states NOTHING about revision requirements. I’m miserable. The dr office won’t even look at me u til I find out if revision is covered by my insurance and they simply just won’t give me a yes or no answer.

I've been reading through this thread and have a question. Im having revision surgery next week. Went from sleeve to MGB and now to RNY because i have horrible reflux. I had excessive weight gain in the years of trying to get to a solution, so I'd love to lose some weight with this as well, but it is not the reason Im having surgery. I see a lot of people asking for stories of success and mostly Im reading that "it's just not as fast" or "I miss my sleeve" but you guys still lost weight right? Just took longer, so had success, but not as fast as you wanted?

I originally had a sleeve that I was told was done incorrectly. That info has still been upheld with current scans. The original surgeon did not cut enough of my stomach away to have enough effective weight loss. A couple of years later, I approached a surgeon in MX for a revision and they talked me into a MGB as opposed to the full bypass. So now I have two problems, one, my stomach is still too large and the bile duct is "basically dumping bile into my stomach" (dr's words, not mine). Only 2 months after the MGB, I started having reflux issues, but was just told to take medicine and it would pass. I saw Dr's while living in CA for almost 2 years before deciding to move to WA to be closer to family because I was in such bad shape over this and the CA surgeons were shady as hell and trying to just immediately push me into a revision without insurance approval. It still took almost a year for diagnosis and surgery scheduling in WA, but I have a huge amount of faith in the dr's I have here. It's been a long road and I definitely didn't want another weight loss surgery after the first two, but I've been assured that this will fix the issue and even help me shed some of the weight gain that I experienced. I did gain over the last couple of years because consistently eating food was the only thing that kept the acid at bay.

I am also banded but am 10 years with it now! I got my surgery around July 2009 and I couldn't be happier with my decision. I haven't had a fill in about 6 years though and have some how managed. I did have some weight gain when I got pregnant both times because my doctor didn't want me to have any fluid in the band. I think my stomach has shrunk over time or something. I can't eat as much as I used to but I can pretty much eat anything I want. I do get stuck sometimes on bread and potatoes unless it has some sort of condiment on it then I am fine. I haven't had any problems or issues with my band in the last 10 years. Good luck to anyone that is getting it and may you have an easy journey!!!!

Thanks Ms. sss - it certainly is a tough call. I paid $16,000 in 2009 for the lap band that is now being taken out. MGB will be an additional $19,000. Believe me, I am all for investing in myself but its a hard pill to swallow if it is only for another 5-10 years. The trend seems to be after a certain amount of time, people are following low cal, exercise, feel like they are starving themselves and nothing is happening. Weirdly enough, weight gain is my least worry. Sure, it will frustrate me, but any medical complications scare the bejesus out of me! I'm hearing ulcers and yet more revisions? I'm 50 now; I don't really want to be having surgeries in my 60's and 70's when the risks become greater. My surgeon/clinic provides support etc for 5 years. I think that says a lot as well. Its not lifetime. One side of me says, just do it - you have read enough to know it will help you stay on a healthy lifestyle. And the other says, get a personal trainer and have him/her weigh you in 3 days/week to be accountable. I don't have to make the decision today. I am grateful for site's like these that can assist in decision making. Back in 2009 there wasnt much support for the lap band.

Alot of us on here got the surgery costs covered by insurance, so yeah, having to shell out $19K adds ALOT to think about. Its easy to say now that I am 2 years post op that I would totally do it again, even if I had to pay, but really, if I think about it, I’m not 100% sure I would have gone through with it knowing nothing of my outcome back then if I had to shell out that much cash. With that said: I started gaining weight about 15 years ago, and spent maybe the last 10 of those years morbidly obese. Yes, I had done diet and exercise several times...on THREE separate occasions I even lost 50+ lbs. The longest I kept those 50+ lost lbs off my body was probably 2 months max...until it started to slowly pile back on to return in its entirety plus some within 4-5 months. There was no mystery to this: I went back to eating the way I did pre-diet and stopped exercising. Now, with WLS, I have been able to keep the 120lbs I lost off of me for SEVENTEEN MONTHS so far. Again, there is no mystery to this: I eat much less and I exercise every day. Yes, I am doing this myself, but the WLS gives me a HUGE boost (at least with the eating part...I actually have no idea why I stay active all this time, and actually like it, GASP!) I have no illusions that I am immune to weight gain. Just because I had WLS does not mean I can’t eat cookies for every meal and sit on the couch all day (but it will limit me to the number of cookies I eat at a time). I have to keep doing what Im doing to maintain where Im at. So far, so good, but we’ll see I guess. In the meantime, I am grateful and satisfied with it all. Soooooo....this is my long winded response that I do agree with you that your immediate and long term success is primarily up to you, but the WLS gives you that extra “umph” to help u get there (and stay there). Good luck with whatever you decide!

Briar Rose - yes, its a huge decision and major surgery. I hope we can make the best decisions for our health and well being and not think we are taking the easy way out. Reading these posts there is no easy way about it and can have some long term ramifications. Don't get me wrong, I am still intrigued by the surgery; however have fears of complications and weight gain of course. It will cost me $19,000 to get the revision done. So it needs to make sense to me.

So sorry for your loss. I hate when people say these things..... They don't realize how much words affect you. My x was my biggest NON-supporter.... but he is gone now (yayyyyy). There are some things you can do: Start logging your food in a food app... I like Myfitnesspal and Baritastic. Do this for a week and really see where your fats, cals, and carbs are coming from. Start to remove them from your diet. Go back to portion control. Start over, do your two-week preop diet. Food prepping is a great way to get back on track. Moving more.... Surgically i think you can do the band over bp, or the DS.... but i'm not 100% Have you been back to you dr? If not... goooooo. Don't be embarrassed about your weight gain. Tell him/her the truth about what's going on in your life and get him/her on board. The dr is there to help you succeed. You are not the first person to regain and you won't be the last..... But, you are the only person that can make the changes happen. YOU CAN DO THIS..... when the nonsupportive people start telling you crap.... walk away, just walk away. Surround yourself with positive people... If you can make an appointment with your NUT and psychiatrist.... they can help you with food choices.... and help you with the emotional part of why. Wishing you all the best....

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

Yes, I have Kaiser and they require/suggest you loose 10%. I have actually lost 22%. My doctors are a little lenient on the 10%, they just absolutely do not want to see any weight gain.

I'm only three months post-op, so I can't speak to the long-term life of a gastric bypass patient, but based on what I've seen of my experiences and what others have said on here, most people live a fairly "normal" life after gastric bypass. As The Greater Fool said, not everybody gets dumping syndrome, and a lot of the people who do see it as a benefit of surgery because it deters them from eating certain foods. I don't even know if I get dumping syndrome because I haven't tried eating anything that would cause it (I was told to stay under 15 grams of sugar and 15 grams of fat in any meal to avoid dumping). If you are someone who gets dumping syndrome, it's not something that happens every day; you can control it by not eating the foods that cause it -- which are often the same types of foods that cause weight gain. Hunger varies a lot from one person to the next. "Head hunger" is a thing for any type of WLS, and you may already know about that from your lapband. Most gastric bypass patients maintain some amount of restriction for life, and most say that if they eat the foods they're supposed to eat (focusing on lean protein and veggies) and follow the rules about not drinking with or right after meals, they get full with a much smaller amount than they used to. There are certain foods that people call "slider foods" because they go down easily in larger quantities, and you have to be careful with those because they can cause weight gain. I don't think "accidents" are all that common. "Accidents" are associated with dumping syndrome, so if you eat the wrong things (foods with too much sugar and/or fat), it can happen, but again, for most people, it's not something that happens all the time. The opposite problem is actually much more common. Drinking can be an issue. Alcohol has a stronger effect on gastric bypass patients, so we can't drink much, and drinking at all is generally not recommended (especially in the first year). After the first year, you probably could have a glass of wine, but you'd need to be really careful not to drink too much. I just had family visit and they don't know about my gastric bypass surgery. I was able to serve "normal" meals all week and eat small amounts, and my family didn't seem to suspect a thing (maybe they did and just didn't say anything, I don't know -- but they raved about the food I served). Omelets and low-fat chicken sausage for breakfast. Grilled chicken salad for lunch. BBQ chicken and ribs (with sugar-free BBQ sauce on mine) for dinner. There are some things a gastric bypass patient probably won't be able to eat, like fried foods or bread, but there's lots of "normal" food that we can eat. All that being said, your weight is relatively low. I don't know your BMI since you didn't enter your height, but my highest weight was 341 pounds and my weight the day of surgery was 270, so I had a lot more weight to lose than you. On the other hand, GERD seems to be a big factor for you that wasn't an issue for me. Only you can decide if it's worth the risks for you based on your own situation. Even at my high weight, it was a hard decision for me that took a long time to make. Maybe you could have the band removed and see how you do on your own before you make that decision?

I wouldn't describe you as a "failed gastric sleeve", you lost 84 pounds! I know how frustrating it is to have to take medication that promotes weight gain, it happened to me with Prednisone. My condition was life-threatening, so I had no choice but to take it. Fortunately, in my case, I didn't have to take it for long and the side effects dissipated pretty promptly once I got off it. You didn't say how long you have been off the medication that caused the problem - is it possible that it is still affecting you? If your bariatric team is not knowlegeable about that particular medication, they may not know what to tell you. Have you tried going back to the doctor that prescribed it? He/She may know better how to manage the after-effects of taking that med. Also, have you googled it? You'd be surprised at how much information there is out there from patients sharing their experiences. For example, I learned online that limiting sodium intake is particularly helpful for mitigating Prednisone weight gain and that helped me a lot. There may be info out there about your particular med as well. I had my surgery right around the same time you did and I'm only up to about 800 calories per day. Maybe try cutting your calories a little more? Also, I'm sensitive to refined carbs, so even if I eat a low calorie diet, my weight loss will stall if my carbs are too high. I generally keep my carbs below 50 per day. I do a 30 minute walk almost every day and strength training three times a week (nothing too crazy, I have a nice beginner's low-impact full-body workout with dumbbells). I found the routine on YouTube and I chose it because it's something short that I can do consistently. The strength training really helped me to keep losing as I added a bit more muscle mass. I started with this routine and then added a little more to it over time: Anyway, don't think of yourself as a failure, life happens. Sorry you ran into this obstacle and hope you are able to get back on track soon. Keep your head up!

Oooo, tbh protein shakes are good for convenience, but I gotta learn about my protein sources to stay healthy inthe long run. I need to weigh things and etc. I definately calorie count everything though. Dumping syndrome sounds like a neat deterrent for weight gain, but wouldnt want to get an episode of it in public though.

I had a small glass of wine about a month and a half out. No problems whatsoever. I "Drank Drank" about 3 months out. Multiple Crowns on the rocks at Hunting camp for three straight nights. No physical problems except a small weight gain from the calories and that came right off after a couple of days. I think you'll be fine if you take it easy. Enjoy Vegas and don't get locked on the roof of Caesars Palace!

My husband has always been kinda funny about me wanting to get my breast done (even before weight lost weight gain weight loss etc). He always said I feel like anytime a man buys a woman boobs someone else ends up getting them in the end. Which hurts. I’ve almost always worked. But I worked because I enjoyed it. We used anything I made just to blow and have fun. So when I won. I said welp I guess I can pay for it all myself. He is a great husband. He just is weird about some things. He has cute dimples so it just melts me and all is ok 😂

I have a gastric bypass RNY the following Thursday (22nd) and I've been on the pre-op diet for a week. I'm starving hungry too and also feeling anxious about the surgery. Covid means I have to go to the hospital on my own too and no visitors for the 2 nights I'm there - I agree having to be on my own is very daunting. I'm just trying to hold it together by reminding myself why I'm doing this - steady weight gain, yo yo dieting for years, high bp, arthritis, pre-diabetes. If I postpone it now, all routine ops here might be cancelled till who knows when if covid accelerates more, so I think as my decision is made, it's best to just do it now. Good luck!

In my most previous posts I've been lamenting on a weight gain three years post Weight Loss Surgery(WLS). No matter what I did the extra five pounds did not want to come off. It also lead to a spike in my A1c which put me back into the Type 2 category. I'm very fortunate to have friends and family that have had WLS after I had mine. We form an informal support group by calling each other up and helping to assist in times of need. Well, it was my time of need. Two of my fellow WLS pals directed me to a You Tube channel, Dr. Becky Gillaspy. They said her videos have helped them and it might spark an idea or two for me. I looked at her videos and two in particular caught my eye. What happens when late night snacking and Intermittent Fasting. I realized that I did snack prior to going to bed. I don't snack on junk food but no matter what I snacked on prior to bed was having a negative effect on my weight. I stopped eating at 7PM and did not resume eating until 8AM which gave me an intermittent Fast of 13 hours. When I conducted my weekly weigh in yesterday I found that I was down 3.5lbs from the previous week. It is too early to claim success but it looks as if this strategy might prove to be fruitful. I'm hoping that this also helps with my A1c levels. If anyone has any information regarding the late night snacking and intermittent fasting I would appreciate you sharing it. Thank you and I hope you all are enjoying your new found health.