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At the beginning of COVID, I got sick with a respiratory/shortness of breath/fatigue/fever problem. Thought for sure it was COVID, but two antibody tests have been negative. Anyway, it knocked the socks off me for a couple of months, actually, and I dropped off my exercise. Until then I was doing a lot of things, including 60 flights of stair a day, weights, walking, biking, and swimming. Needless to say, I gained about 7 pounds. But I am happy to report that today I got back to my goal weight and I am sooooo happy about that. I have been increasing my exercise a bit, now with cooler weather (still 95, but feels heavenly after 115!) , and have monitored my carbs and nuts a bit closer. I am still doing IF, which I think is a great tool. And I have found that exercising in a fasting state not only makes me feel better DURING the exercise, but great afterwards, too. I did a 20 mile bike ride the other day in a fasting state and it was one of the best rides I have ever had. Maybe it's ketosis euphoria, but it sure felt good and like I could have gone another 20. The longer I get out from surgery, the more "normal" my eating becomes, and I am gradually learning what I have to do to feel strong, maintain the weight, and not get stressed out over it. The key with weight gain is to nip it in the bud. Don't let it get to 10 pounds - drop it dead in its tracks before it gets that far down the road. Regain does not happen overnight. It actually comes on gradually unless you just stop weighing yourself, start pigging out on unhealthy food, and just go into denial about the whole thing. I used to have nightmares about waking up and finding myself having regained all my weight. AAGHHHHHHHH!!!!!!!!! But it doesn't happen that way. Weighing daily, and jumping back on track when only a few pounds up is the way to keep it off for good, I am convinced. I don't stress about it any more, because I know this is actually do-able! I will have to keep watching carefully as I move toward the 2 and 3 year marks. Hang in there, everyone. Knock it out of the park! Keep with your plans, get your exercise in, and enjoy your new lives!!!!!

I am 25 years old 5’ 4’’ 240 ish lbs (~41 BMI) and I have been struggling with uncontrollable weight gain due to Hashimotos and PCOS for the last 7 years. I haven’t been told by any doctors that I should get a sleeve done and it won’t be covered by my insurance but I am willing to do financing. I will be talking to my endocrinologist tomorrow but I am afraid they aren’t going to want me to do it (Idk why I think I’m just nervous). I have already found a surgeon and location to do it Ive just got to make a final decision. Just looking for opinions!

I normally gain during November and December and then take the next few months losing the weight. This year I had to work from home and by the middle of May had gained 7 lbs from the holidays and then an additional 10 lbs from March to the Middle of May. As of today I have lost the 17 lbs. Part of my insurance program is they have an app where I weigh in every day and give you suggestions on losing weight. You also have to take picture of your meals and submit on the app. As a result of having someone to be accountable to has kept me somewhat in line. The main weight gaining opportunity is unhealthy snacking. So this been curtailed as well.

Same here! Dry, brittle, awful. My guess, in my case anyway, is the (drastically) reduced fat intake, about ready to work a few slices of avocado back in. Holding me back is avocado is def a trigger food for me....love, love that stuff. Argan oil treatments would likely cause less weight gain.🙄

Thank you for the reminder. I hope the newbies take note. I had a weight gain due to moving in with my Mom to take care of her. I gained seventy lbs. I have lost forty but am struggling with the thirty left before I make it back to 200 lb. I lost the forty just by moving out of my mom's house away from all her goodies. This last thirty is a killer. I have a lot of issues surrounding food. And dieting often exacerbates them. It tends to be a trigger for me. So how do I diet with out dieting is my constant struggle. The newbie should not be scared away they just need to take note that the struggle isn't over just because you lost the weight. I so wish it had.

Right after surgery I was able to lose weight faster than a speeding bullet, my restriction was more powerful than a locomotive and my metabolism could easily leap a tall building with a single bound. Today, my kryptonite is time. Time has made me once again a weight loss mortal. I am able to gain weigh even though my diet has remained healthy. I don't lose the weight gained as fast and I am able to eat more. What to do? I actually fore saw this problem. The first year of my WLS journey when I was researching and going through the process to be approved I went to as many group meetings that I was allowed to attend. I always picked the brain of the people in attendance. Like many on this board they were ALL newbies with the success stories only newbies can tell. Not a single failure in the group. That is until one day a woman showed up and started telling us her story. She was five years out from surgery lost a lot of weight and put most of it back on. She warned everyone that things would change as you get further out from surgery and that it wouldn't necessarily be for the better. She had wished that she did not get caught up in the euphoria of her early success. She said that it's like winning the lottery. One day you have more money than you'd ever dream of having. If you don't plan on saving it you'll go bankrupt. That's what happened to her. She won the weight loss lottery. She lost more weight than she could have dreamed losing. Trouble was, she didn't plan her long term weight loss and now, she went "bankrupt". As I went through my daily routine I came across others who had WLS and many had indeed gained the weight back. I was in my doctors office and the medical attendant there told me about her failure when I told her that I was going through the process to get approved for WLS. She told me that it creeps up on you. Two pounds turns to four, four to eight than you're back to where you started. You start to Feel helpless and give up. As I went to the group meetings pre and post surgery I noticed not many people stuck around. There were no veterans in the group just eager newbies who can attest to the success of WLS. Seems as if the veterans drift away and either gain the weight back in silence or just get tired of hearing the same stories of success over and over. I knew that I would probably lose my WLS super powers someday and I had hoped to plan for it. First, I did lose a lot of weight in the mid 90's and I never thought that I'd get back to being obese. I was so wrong. Like my medical attendant experienced, five pounds turned to ten then to 20 and you know the rest. It took me less that four years to gain back the weight and then some. It took another 17 years to get WLS. I decided that I would use every tool that I could in order to keep the weight off and maintain my health. I joined Over Eaters Anonymous. It's another support group away from the support group my surgeon has. I started seeing a therapist who specializes in eating disorders. ( I'm a compulsive over eater) and I have family and friends who have had WLS who I can call to get and give support to. I also weigh myself every week at the same time on the same scale and set a "Red Alert" weight of 160lbs. ( Have a log since the day of my surgery) If I go above the 160 I know that I must redouble my efforts. Here is where my lost WLS super powers comes in. Despite all this I am having a difficult time losing the five pounds that I am over. I feel as if I am now a mere weight loss mortal who has to work two to three times harder to lose and maintain the weight loss. I can't say it wasn't expected. From all the people I spoke to I knew this day would come. It's that, I was once a WLS immortal and now I have to struggle like all others to lose weight. My saving grace (I hope it is) I planned for it since I went through it before and I took the advice of those who went before me seriously. For all of you newbies who are experiencing the euphoria of being WLS immortal plan for day like me when you lose that super power. Just a note, there are many who do maintain their WLS super powers. They are on this forum and they are truly superstars. They unfortunately are the exception to the trend. I find their advice to be invaluable and I look for their posts for such advice. To everyone, good luck with your new found health.

I agree with Manyloves...some of it could be shrinking feet! Has your shoe size changed? In my thinner days years ago I wore a 5 1/2-6, after pregnancy 6-6 1/2, with weight gain 7 1/2-8 and now back down to 6 1/2-7. It's not bad enough we have to buy all new clothes several times on the way down but we have buy new shoes too! I finally ordered all new appropriate size underwear after my plastic surgery. I had to draw the line somewhere so I wore baggy underwear for a long time.

In the last several years, I have shrunk from 5'10" to 5'8.5" (it won't let you put half inches on here, so I am listed as 5'8")... I am wondering if, when I lose the weight, I will gain that 1.5" back? Has anyone experienced this?

I first looked into weight loss surgery about 15 years ago. Things were different back then; the sleeve was not a common procedure (and not covered by some insurance companies), and the place where I attended an information session was mainly doing gastric bypass as an open procedure. They would only do laparoscopic surgery on patients with lower BMIs, and I wouldn't have qualified. I didn't go through with it because my family talked me out of it. The risks of complications were higher then. I have been lucky enough to have good health for most of my life. I'm in my late 30s and until the past year, I never went to the doctor or took any prescriptions during my adult lifetime. For all those years, I thought it would be crazy to take the risk of having weight loss surgery when I was perfectly healthy. I was afraid I would lose my good health to complications of weight loss surgery. I looked into it every so often, and when I remembered all the restrictions, I couldn't stand the thought of giving up my diet sodas and pizza and ice cream, letting my pouch rule my life, getting sick if I eat the wrong things, and having to take pills every day for the rest of my life. But aging takes a toll and my good health was starting to slip away. I found out from my work physical that I had high blood pressure, and they urged me to see a doctor. When I went to a doctor, I was diagnosed with hypertension and type 2 diabetes. It's gotten increasingly difficult for me to get around, which became a vicious cycle as I became more sedentary and gained even more weight, and the weight gain continued to decrease my mobility. I had a BMI over 60 at my highest weight. I came to the realization that I had a choice: I could keep going the way I was, keep gaining weight and losing mobility, see my health continue to decline, and probably die of a heart attack or stroke before I turned 50. Or I could have weight loss surgery, because I sure as hell wasn't going to be able to lose that kind of weight on my own. All that stuff I couldn't bear to give up for a chance at losing weight started to look a lot smaller compared to the life I was already giving up more and more every day at that weight, not just health-wise, but in my social life and my career as well. I went into it thinking that I wanted the gastric sleeve. It seemed less extreme, less risky than gastric bypass, My surgeon recommended gastric bypass because my BMI was so high. He said that for lower BMI patients, there's not a big difference in outcomes between sleeve and bypass, but for high BMI patients, the difference can be significant. Both are very safe procedures with low complication rates nowadays. So I ended up getting gastric bypass. I've since read a lot more information that has confirmed in my mind that gastric bypass was the right choice for me. I've seen a lot of people get their sleeves revised to bypass because of GERD and/or unsuccessful weight loss, and I don't want to have to get a revision. I had my surgery on July 16, and it went well. I was discharged from the hospital the next afternoon, and I had surprisingly little pain. I didn't need any pain medication, even Tylenol. The first few days were miserable (mainly due to gas pain from the gas pumped into my abdomen during the surgery), but I healed quickly and went back to work in a week and a half. I've stuck to the post-op progression plan very closely, and not gonna lie, the liquid phase is hell, but it went by quickly and it was much easier once I got to purees and soft foods. I haven't had any issues with anything I've eaten so far other than a feeling of food getting stuck sometimes (which isn't pleasant, but it works its way through after a few minutes). I lost 70 pounds before surgery and 40 pounds so far after surgery, for a total of 110 pounds. And now my BMI is about the same as yours, which is kind of depressing. But I have had great improvements in my health, like my blood pressure in the normal range and my latest A1C was 5.2 (down from 8.1 in February). My mobility is improving. I started out wearing size 26-28 and now I'm wearing 20-22. I still have a long way to go, but I'm getting there. I'm not far enough out yet to know how this is going to work out for me in the long run. Obviously, I'm pleased with my results so far, but from what I've read here, the first year is easy. Here are some of the cons that are not so obvious: I haven't told anybody other than medical professionals about my surgery because people can be very judgmental about it. How many people you tell is a very personal choice that can be difficult. It is really stressful to keep this secret and try to hide this surgery that affects my life so very much! (But also stressful to endure judgment from people who are clueless about WLS.) The fear of regain keeps me up at night. I'm doing well now, but I've seen soooo many people lose a ton of weight and gain most or all of it back. I've yo-yo dieted all my life and I would be absolutely devastated if I went through all of this only to gain the weight back. Food is everywhere. I feel like I'm constantly being bombarded with ads for food and restaurants, seeing decadent recipes on social media, and watching other people eat foods I love but can no longer eat. It's rough going to the grocery store and seeing a great sale on something I love only to remember I can't have it. Maybe you get used to it after a while, but right now, I have these sad moments every day where I miss the food I used to eat. Even if you reach your goal weight, you're still not going to have a great body... unless you go through the pain and expense of plastic surgery. It will still be a heck of a lot better than where you started, but not the same as someone the same height and weight who was never obese. I think it's important to go into this with your eyes wide open, understand what the tradeoffs are, and accept the things you will have to give up or deal with for this shot at changing your life. Most people say it's worth it.

Your list most definitely hits the majority of the reasons I experienced the weight gain I did. When I first started having weight creep back in, I ended up ashamed of it and after a bad visit with my bariatric team about it, I left and didn't go back to them. Which sure the heck did not help matters! Those, though, are the main pitfalls for bariatric patients to look out for!

I would add having medical issues and using certain medications can contribute to weight gain that's hard to mitigate. (it's well documented that meds, steroids and psych, cause massive weight gains in a very short period of time) Congratulations on your new journey ♥️

I had posted this on the WLS Veterans forum, but thought it would be a good idea to post this on this forum as well. I had gastric bypass surgery 5 years ago. I was incredibly determined and managed to lose 180 lbs. in a year's time. I'm 5' 9.5" and I went from a size 28 to a size 10. Now, I've regained a lot of weight and I'm starting over. I thought it might be helpful to list the steps that caused my weight gain. My goal is to tackle these 6 and starting moving in the right direction. Does anyone else have additional things that contributed to regaining weight? Stop weighing yourself Stop tracking your food intake Stop exercising Drink liquids with meals and ignore the 15 minutes before/30 minutes after rule Start eating your old favorite foods Stop visiting Bariatric Pal forums

I had gastric bypass surgery 5 years ago. I was incredibly determined and managed to lose 180 lbs. in a year's time. I'm 5' 9.5" and I went from a size 28 to a size 10. Now, I've regained a lot of weight and I'm starting over. I thought it might be helpful to list the steps that caused my weight gain. My goal is to tackle these 6 and starting moving in the right direction. Does anyone else have additional things that contributed to regaining weight? Stop weighing yourself Stop tracking your food intake Stop exercising Drink liquids with meals and ignore the 15 minutes before/30 minutes after rule Start eating your old favorite foods Stop visiting Bariatric Pal forums

@SAsurgery Hi. I'm 15 1/2 years out from a traditional DS. - What foods do you avoid? (Fatty foods? Carbs? Can you tolerate small amounts?) I eat fatty foods. It helps to "grease the wheels" so to speak. For instance, I buy 80% chopped ground beef as I need the fat. It does generally takes me 2 sittings to finish a meal. - Do you have diarrhea? Sometimes. My doctors classify diarrhea as going too much and/or going liquid. I'm more in the too much area. This will occur if I eat junk and/or too many simple carbs. That's why I eat them pretty much only at home. If you have diarrhea and you're not sure why, it can signify it's time for a dose of Flagyl. Many DSers I know take it yearly and I probably should, too. Just to keep things even. - How many Vitamins do you take? Have you experienced Vitamin deficiencies? Have you had to get infusions? I take over 40 a day. It's second nature. As a matter of fact, when I wasn't permitted to take them while going through gb surgery, I went a little nutty. I'm just so used to it after so long. I've had some issues with my bloods. Sometimes the numbers are too high, other times too low. My surgical group has me do them every 6 mos. so tweaks can be made to what I take. The only infusion I take is Reclast. But I know a good many DSers who need iron infusions. That's never been an issue for me. - Do you struggle to maintain your weight loss? Do you feel like you are constantly on a diet? No and no (and we don't count calories). I kept a food log for the first 6 mos., now I have a protein ticker in the back of my head that just checks off protein grams. I eat 125-150gr/day so I'm constantly eating protein. Just had my mid-morning snack which was cheese and nuts. I also keep it low on the simple carbs. I don't want the weight gain or the gas/stool issues. I'll probably grab a triple cheeseburger w/catsup from McD later if I'm hungry in the afternoon. I just eat the meat. First, bc the bun is too filling and I always eat protein first. Second, bc I don't want what will come with the carbs. - Anything else you wish you had known before surgery? Do a Dexa scan preop. So you can have a baseline. Keep all your blood work. I have it since preop. It allows me to look for trends (esp. the last 3 draws) and also can help out if there's an issue. Some DSers I know have made a spread sheet for their blood work. I've never missed a day of supplements. I expect as a Dr. you won't either. 😊

I am 6 years out from surgery. I started out at 371. I am now at 234. I’ll answer your questions in the order you asked them: - What foods do you avoid? (Fatty foods? Carbs? Can you tolerate small amounts?) Foods I avoid: Rice! and Carbonated beverages. Both have a very negative effect on my stomach even now. Rice seems to grow once it gets in my stomach causing it to feel overfull. Carbonated beverages are to be avoided anyway but occasionally it’s the only thing around to sip and never has there been a time that I didn’t regret it! - Do you have diarrhea? Occasionally but it’s rare and usually something I know is going to happen. Constipation is a bigger issue and my go to remedy is a slice of plain cheesecake. Seriously. It works better than anything else. To help keep things moving I am sure to add real butter to any carbs I eat. Sometime I use MCT oil to help keep things moving but be careful cause it can cause very loose stool.  - How many Vitamins do you take? Have you experienced Vitamin deficiencies? Have you had to get infusions? I use PERSONA now for vitamins They do an assessment that determines your vitamin needs for me that is one Bariatric Multi, 8 Calcium Citrates spaced out in three doses, Vitamin D, and a Probiotic. I was seriously anemic and had to do iron infusions until I had a hysterectomy July 2019. Now I’m normal and won’t need them again. I take powdered Collagen in my coffee everyday to keep my hair growing, my skin from drying, and my muscle from aching. - Do you struggle to maintain your weight loss? Do you feel like you are constantly on a diet? Weight loss is a constant struggle, you will not lose on a smooth downhill slide. It will fluctuate and drop suddenly then rise and fall like ocean waves. Keeping the weight off is the challenge and with the DS weight gain is less likely it still is very possible if Carbohydrates are your source of comfort in times of struggle and stress. You won’t feel like you are on a diet, you will feel like you are a slave to your stomach. You’ll spend an hour making the most delicious meal and take two bites and be full. You’ll find that foods you once loved now don’t make your new stomach all that happy. But with all that you lose and all that is frustrating comes so much amazing stuff like feeling average sized. Shopping in a average clothing store, sitting in theater seats or airplane seats or really any seats and not worrying about what the person next to you might think. Saving so much money cause you can split meals with friends.  - Anything else you wish you had known before surgery? My words of advice: find a local support group or an online one if you can’t find one in your area and stay faithful to going to meetings and events for at least one full year but two would be better. Your family and friends will have no idea what you are going through and will say things that will be surprisingly hurtful but they won’t mean it that way, like “Wow, you look how small you’ve gotten!” (Internal thought: I must have been huge) You’ll need people who know not to say those things and instead say “You are making great progress! I am so glad to see you again!” Good Luck! It gets better! Walk Sip Walk Sip Never Trust a Fart! 😜

During the time that I planned my meals post Gastric Sleeve I never ventured off the "reservation" so to speak. My diet has consisted of dense proteins as these things gave me nutrition and filled me up. The added benefit was, they also helped maintain my weight goal. In my last post I described a slight weight gain that I'm having difficulty taking off. I recently visited my surgeon for my regular six month check up and while all of my blood tests were good my A1c went from 5.6 to 6.5. Diabetes that I have lowered with WLS has come back. I realized that I changed my diet from all dense proteins to a mixture of dense proteins and fruits. Post surgery I did not eat fruits or vegetables ( my choice) as I found the proteins to give me adequate substance and to be filling. A family member had WLS and her surgeon told her to eat fruits and veggies. I went along with her meal plan and it had a negative effect on me. I gained weight and my A1c was elevated. She on the other hand has maintained her goal weight and her blood tests including her A1c are in the normal range. What do I take away from this? Could there be metabolic changes in our bodies post WLS that either assist or deter our abilities to switch diets or to lose weight after a regain? I asked my surgeon and he wasn't sure himself. Since we have many people on the forum who are staying atop the newest science as it pertains to Weight Loss Surgery maybe someone could help me shed some light on this subject. As always, I appreciate the advice and I wish everyone success with your new found health.

Hi delphina I cannot believe that after going through a gastric bypass does that mean that I may have to go through a revision? It is sad that through all the challenges with our weight we still have to battle with weight gain. I too have beem gaining weight. I have done everything to monitor my food intake and still see the dial go up and up. Missy

Try to include some form of meditation as well. Stress can cause physiological changes that can cause weight gain just like a caloric surplus.

Stalls are a normal part of weight loss that just about everyone experiences (search this site for “three week stall” and you’ll see thousands of results). This won’t be the last time you stop seeing your scale move for a little while before starting up again. in your case, though, I’m not sure I’d even call it a stall. This soon after WLS, you shouldn’t even be looking at the scale. Your body went through a lot during surgery and it has to adjust to the changes. While you were in the hospital, I’m sure they pumped you full of IV fluids, and that alone can cause weight gain. I actually weighed more at my one-week follow-up than I did right before surgery (my surgeon didn’t care — at that point, he was more interested in how I was healing from the surgery). You should also be aware that since you’re starting at a relatively low BMI, your weight loss is likely to be slower than someone starting out 100 pounds higher than you, so don’t get discouraged by comparing your weight loss with anyone else’s. A lot of people only weigh themselves once a week so they don’t get freaked out by normal fluctuations or stalls, and you might want to consider that.

I had my band removed earlier this year For the same reasons you had yours removed. I had my band for 12 years and loved it. I have gained 40 lbs since they removed all the fluid. My doctor recommended RNY when the band was removed and with the weight gain I was experiencing, I agreed. I have been going through all the pre op testing and requirements from my insurance company. Just got approval this week. I hope to be a success story but I would love to hear from others who have gone thru this as well.

Will i'm sure you now know that it was wrong.... but no use crying over spilled milk. What's important to remember is how this made you feel...... Physically and emotionally. I always stick to this way of eating..... one Rule: Only eat at a table. Never in the car, never on a couch, never in the bed..... When we start with Not eating at the table we open ourselves up to so many dangers. I know i had to find this out the hard way. Eating in the car leads to fast food and fast food leads to bad food choices. It also leads to hurried eating, Which leads to overeating, which leads to no weight loss or a weight gain. Eating on the couch leads to eating in front of the tv, which leads to not paying attention to how we are eating, which leads to eating too fast and again.... Overeating. Eating in bed is the same, but it's mostly junk food. I learned there (for me) there was a right way to satisfy my cravings.... Portions. Example: Chips, i would open the bag, count out 4-6 chips, close the bag, and return it to the closet. Sit at the table and one by one slowly eat till it was like mush .... by the time i was at prob 4 i was good... threw the rest away.... don't think about putting them back in the bag... that will lead to you impulsively reach in the bag. I have to throw in the garbage disposal.

Ahhhh. Hugs and more hugs to you! Reading your thoughts above, you have a very full plate right now and “Ideally, want to finish your studies and then get the surgery”. Repeatedly you express this wish. You deserve to complete your studies uninterrupted, so then you can devote more focus to your next life milestone, WLS. IMHO, I wholeheartedly agree on that strategy. I finished my master’s at age 40 while working full time and recall the dedication, focus and discipline required to keep it all rolling at a very high level. I also had L5, S1 microdiscectomy and laminectomy 18 months ago. To add in WLS and the preparation pre and post op would have stressed me to no end, and yours is a step more intense than mine, PhD and fusion. You’ve put so much into your journey already, and we’re talking a short time frame in the big scheme of things to finish your studies. I would focus on keeping your spirits up right now in knowing and believing it WILL all be accomplished within a very near term time frame. I do recall the horror of the weight gain with spinal surgery, but again, I would strive to eat as healthy as possible but don’t stress over it. Focus on the things you CAN control, finishing your studies without losing your ever lovin’ mind is right there at the top of the list. Throw off those chains of guilt that you’re not prioritizing your health! You ARE prioritizing it in being self loving and practical to not further overload. Breathe.... You got this girll!

Hi there. I’m new to Bariatric Pal. Needing a community. I had gastric bypass 2006 top weight 301 current weight 165. My lowest was 138 intentional gained 10 lbs (with doctor’s guidance) bc I was getting very cold. However in 2018 I started playing around with carbs and now paying for it. What I remember was doing no carbs in the beginning. I think maybe the first year. The focus was protein. My belief and still is that the gastric bypass team doctor, surgeon, dietician are my guide. I ask lots of questions and keep food journals. The foods that got me to 301 I had to let go. And they are the foods that caused me the weight gain. Hope this helps some. sylvia

I just had my revision from band to sleeve in July due to band slippage and weight gain over the past few years. I was in the same boat where I assumed that my insurance wouldn't cover it to the point that I initially was going to join the non-surgical weight loss program as I didn't think I could have another bariatric surgery. The PA I met with assured me that was not the case and that revision surgery is common and approval for them is not that hard to get. The fact that your lapband is in complete failure due to the damage sustained to the port means it should be easy for your doctor to provide all of the documentation needed to your insurance provider that the revision is medically necessary. Most bariatric surgeons are going to know how to "dance" with the insurance companies in order to get the needed result for their patients.

I am having a revision from VSG to RNY on 9/15 due to severe GERD....can anyone share their experience on weight loss post revision? A little history: I had my sleeve done in 2015 and loved it. Easy recovery and great results. For the past year, I developed severe ACID reflux and Gerd with a hiatal hernia. Unfortunately, I gained 40 lbs back. So much of this was due to the fact that if my sleeve was empty the acid was so much worse. So I started eating tons of carbs to keep the acid soaked up. I didn't catch it soon enough so the weight gain continued. I am very excited to get rid of the GERD, but also want to get a realistic weight loss goal in my plan. How much did you lose after your revision?