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Cross post OMG please help! I had a VSG 18 months ago and successfully lost about 80lbs. When the pandemic hit my anxiety went through the roof and I have gained back 30lbs. I still feel full after small servings but it’s SUGAR that is doing me in. Oddly I can easily eat a pint of ice cream in a sitting but cannot eat more than half a serving of “regular food”. Have I killed my sleeve? Do I need a second surgery. I’m so embarrassed to call my surgeon

OMG please help! I had a VSG 18 months ago and successfully lost about 80lbs. When the pandemic hit my anxiety went through the roof and I have gained back 30lbs. I still feel full after small servings but it’s SUGAR that is doing me in. Oddly I can easily eat a pint of ice cream in a sitting but cannot eat more than half a serving of “regular food”. Have I killed my sleeve? Do I need a second surgery. I’m so embarrassed to call my surgeon.

Pckeys, you’ve touched on a real concern I’ve had...”Preserving BMR”. All of my life I’ve heard that weight gain is often a result of repeated very low calorie dieting that translates into a permanently lowered BMR, thus we pack on weight even easier each time. Will this extended sprint of 800 cal months create the same? If so, are we better off consuming 1,000 daily even if we perhaps lose at a slower rate? A question I keep intending to ask surgeon or NUT but have not. Hmmmm.

I started this journey in January 2019 after a visit to Joslin for a type 2 diabetes check-in. I knew I was very overweight, but had never been recommended for Bariatric surgery! I thought that was for the “other fat people”, you know, 500+ pounds. I was kidding myself. I took the recommendation seriously and went to a meeting for those interested in Bariatric surgery. I decided I wanted to try some lifestyle and food changes myself before I made such a big decision. It was my teenage son telling me he was worried about me not living through my fifties that kept me moving in the right direction. This is probably the time to tell you that I have always enjoyed healthy eating and usually made pretty good choices with food, except for the times that I didn’t🙄. For me, eating is only a part of the extra pounds. I am the main character in a genetic horror film! The film stars me, before major weight gain, starting off with Metabolic syndrome (that includes Hyperlipidemia (crappy HDL), High blood pressure and high blood sugar), Arthritis (2 surgeries, 1 procedure, cervical and lumbar radiculopathy and stenosis- for almost 2 years, unable to work or even stand for more than 15 mins before excruciating pain set in), PCOS (hormones, fertility drugs, hysterectomy), and finally the cherry on top of the extra pounds? Type 2 diabetes and sleep apnea. So, after I changed some of my behaviors, food choices and had an RFA of L4, L5 and SA, I was ready for help to move into the next phase. This phase began on December 30, 2019 at 204lbs. I am now 1 week away from my VSG surgery and feel ready and excited about feeling better, eating better, moving better and ultimately being here, not only for myself, but my son. Today is the 7th day of my pre-op diet and I weigh 180.2 lbs. I feel proud and know that this surgery will be an amazingly powerful tool to have on my journey.

We’re all (or were) fatties so there’s no bluffing here, but typical weight gain w steroid is nill. I happen to be an educated fatty with a masters degree. You chose the calories you put in your face, same as the lady who had a death. It is a food problem if you are putting too much food in your mouth. All of us did. Denial is rampant on internet.. i am the third person to agree with the posters above saying you have a food problem. Hope it helps for your reality check to help you be more healthy otherwise i wouldnt have commented. Hope you have lots of success denial can get in the way of that 🧸

Hello! Next week Thursday is my final appointment with my surgeon before he submits to my insurance company for approval. The problem is, my insurance specifically says that I cannot have any net weight gain. Well, after COVID and my gym being closed, I am 5 pounds heavier than I was 6 months ago. Does anyone have any tips to drop 5 pounds quickly that I could do in the days leading up to my next appointment? Thanks!

Below is an edited version from 3 weeks ago when I was conceivably talking about getting a bypass with the medical group. Now the Doctor Thinks a Sleeve Would be Better Then a Bypass. With battling weight most of my life 10 years ago I got a lap band put in. I am now 57 years old, 15 years ago I was diagnosed with type two diabetes At the time my Lap Band was put in my weight was 230 pounds. That might not sound like a lot of weight but for a male 5’8 it was a lot for me. In addition to having type two diabetes I have also had two neck surgeries and three back surgeries over the years. The Lap Band gave me significant weight loss. I got down from 230 to 160-165. I also lowered my Metformin from 1000 mg to 500 mg. I lost approximately 70 pounds of weight and maintained this weight for about nine years. To say that it was an easy road for me would be lying, I was constantly having the band loosened tightened loose and tightened like being on a roller coaster. I had problems with the Lap Band being so tight that I was having major acid reflux problems. In addition to that I had some small ulcers around my esophagus next to my Lap Band. Last year I decided I had enough of this and had a lot of Fluid taken out of my band. The major acid reflex went away immediately however, I still have some ongoing small minor heartburn and a small cough because the Lap Band is still in place but a lot of the fluid has been taken out. Because of that removal of fluid I have gained back for the first time in 10 years 35 pounds. Now I am back up to taking the same amount of diabetic medicine Metformin 1000 mg because of the 35 pound weight gain. The bariatric center in Los Angeles is now recommending that I conceivably switch to a Sleeve. This decision is not completely final yet and the acid reflex problems I’ve had for so many years which only really developed soon after getting the Lap Band 10 years ago. As in all surgeries there are risk concerns for changing the body anatomy, any advice or opinions from anyone that has been down this same kind of road would be much appreciated. Thank you for your time and concern. Hopefully one day I can help someone else.

Small but significant thing to ponder: stress and anxiety is linked to weight gain/retention. Stress >> increased cortisol >> body’s resistance to insulin >> weight gain and/or weight loss resistance.

I had a sleeve 7 years ago and lost 85 pounds over 6 months. I had no loose skin whatsoever, but I have regained the weight and I'm due to have a revision to a Mini Gastric Bypass in a few weeks. I'm curious to know if you are more likely to have loose skin after a revision for weight gain? I am also now 7 years older 🙂

We're in the same boat, so we can encourage each other. I had vsg in 2012, followed by a baby, along with weight gain in 2014...followed by another baby, and even MORE weight gain in 2016. Just started a diet reset 2 days ago, and I'm feeling pretty good about it. I'm 80 pounds away from my goal weight with vsg...so this won't happen overnight. How are things going for you?

Sorry if I wasn't clear. I lost 20 pounds during the 6-month weight loss program, which was at a different hospital--it was not connected with my surgeon's office. I first met with my surgeon about three months later, and during that time I had gained back those 20 pounds. However, I did not gain weight between the time I first saw the surgeon and my surgery date. Nonetheless, I don't think your weight gain would be enough to delay your surgery. However, you should discuss it with your surgeon. Just tell the truth and don't try to "cheat" by starving yourself before your next appointment.

Hey all, So I got my insurance approval and have surgery this Thursday, August 13 and my doctor is not requiring me to do the liquid diet. I had one last get together, plus my time of the month, somehow gained like 10 pounds from my original weight. I’m so upset about it. But my pre-op appointment is at the hospital this Tuesday and worried about my weight gain. I’m doing the liquid diet on my own starting tomorrow. When I called my doctors office they said it should be fine. But I’m still nervous, has anyone day of surgery denied? Thank you!

I'm New York, and within the past few months - bleh. The lockdown didn't bother me so much as a concept, weight wasn't a problem for the first two months. I was VERY involved in a virus-related contact tracing effort that has basically consumed all of my time, and obviously the status of healthcare in America means that I've spent since mid-Feb bashing my head against a wall to try and make things happen and hitting political and insurance roadblocks and let's just go ahead and agree that being 20 feet away from the kitchen during 13-hour days when you can't leave home without wearing a mask is... not ideal for maintaining weight loss? Long story short, I am a whopping 30lbs up on my lowest weight right now. It's reversible, and in fact with some of the virus-related work finally getting traction (Americans finally stop living in denial, hopefully?) and being parceled off to other teams I'm actually seeing work hours go back down to a normal schedule, but I'm rebooting starting this week through Orgain protein shakes twice a day and one carefully planned meal, plus coffee, water and a cheese stick. I've deliberately and proactively sectioned off my calendar to make sure I don't keep working until 8pm every damn night anymore. I have done terrifying things in Salesforce so now all of my spinning plates are in view at all times. How did I get here? Well... Stocked up in late-Feb when I realized that this was going to be a pandemic. Then tried to order once or twice a week from restaurants when it was clear they'd otherwise shut down, which meant a single dinner lasted three nights. Two months in, I started going to the store occasionally for simple human contact, usually ended up buying stuff I didn't need as an excuse to make the trip. By the end of the spring, the stocked-up stuff started to reach the end of its expiry date, which meant I had to eat it... You see how this spirals. I hate summer. Hate it. Seasonal depression (yes, it does exist for summer). Oh, and then this year it turned out I developed a sun allergy. So even if I did go out to exercise, I risked days of an itchy, poison ivy-like rash. Pool closed, obviously. Work stress. Firstly, trying to make sure I kept my team employed and occupied and engaged as they ended up stranded in apartments and parents' spare rooms in rural towns and assure them that layoffs aren't coming to get them. Secondly, all the virus work. Work happy hours at the start of the lockdown. I had maybe 3-4 drinks every MONTH before lockdown. But then everyone started having happy hours to stay connected, and about three weeks in I think the cocktail started representing the time you officially stopped work so we were all starting making it more of a daily ritual. And once you're having a drink every afternoon when you shut your laptop, you start having two on the days things are particularly rough, and now it's August and I have consumed a remarkable amount of calories via gin, tonic and cider and definitely need to change that pattern. Pandemic stress and constant, haunting thoughts about why I didn't get New Zealand citizenship when I lived there and could do it, dammit. Stopped wearing proper clothing. I vowed to keep wearing my jeans and nice work tops, and stuck to it for about two months. Then I realized that wrap dresses worked great on calls and were cooler. Then started wearing yoga pants (but not doing actual yoga!) and a nice top on calls. Over the last three or four weeks, I've worn zip-up hoodies on internal calls. So it was easy to ignore the weight gain. My wireless scale broke and it took me three months to buy a new one. Anyhow. The pandemic sucks, so many things about living in the US reality distortion field suck right now, but one thing I very much can control is my food intake so it's back to basics on that count. The grocery supply chain is just fine, I've bought a projector TV so I can lock my dog out of the room and do yoga with an image projected on a wall instead of trying to contort myself to do yoga via computer while battling weak wifi, and IT'S GOING TO BE AUTUMN!!! Also I'm taking a week off. Also one of my NZ friends is now living in Sweden, so we spend a lot of time WTF-ing at each other about our situation compared to our friends' situations. How are all of you doing? Working parents, I am not one of your number but know that as one of your colleagues, I do not mind seeing your kids onscreen, totally understand you can't make that deadline, and basically just want to make sure you can make it through the week with 50% or more of your sanity intact. This pandemic has not fallen equally across all shoulders by a long shot, and anyone who's trying to make you stick to a Before Times schedule or gets ratty about "unprofessional" childcare complications can go stuff themselves. **definitely not looking for any advice or encouragement here, and am in fact allergic to both unless expressly requested - just figured since this is a check-in I’d update on current state of play for anyone interested in comparison.

I completely understand the regain of weight after hitting our low weight or our goal. The biggest problem is that we graze and I am seeing grazing on a daily basis in my practice. I am a Family Medicine doctor and have been working on my own regain of 30#s in the last 2 years. I started with logging every morsel of food along with a rating of how hungry I am when I am eating it. Also assigning an emotion to the process. Day in and Day out I saw that I was eating out of good and bad emotions, but nothing having to do with hunger. So I started back at day 1 and went back to Protein shakes and am in the process of getting my act back together. What I have noticed with my patients is that we are all struggling with the lack of control we have in our lives. I think we have to embrace that and accept that we can only control our own actions and we need to be our own best friend first. The average weight gain among my patients in the last 3 months (since lockdown started in NV) has been 9-11 lbs. I finally had a couple of people last week who had lost weight with a great deal of effort on their part. The comment I loved the best was from Bev, who is 93 -- She said she wished her refrigerator had never learned English because it practices it all night! I completely agree, so now I am ignoring my refrigerator and planning out every day. The one think I know is accountability. That is really important so find someone you trust and can be honest with and ask for their help.

commenting on someone's weight gain/loss is plain rude imho. although, I have noticed that there are many people who are more easily able to spot a 5-10lb weight gain than a 50lb weight loss. go figure. saying "you look great" or something along those Iines is fine and about as much of a compliment as I would give anyone regarding their weight, but when I am on the receiving end, the cynic in me wonders how much of a beast you thought I looked like before. that said, I have noticed that for me at my highest weight, it does take about 50 lbs to get any comment at all. The heavier you are, the more subtle a 50+ lb weight loss is. I have learned to celebrate my own victories instead of relying on others to encourage me. congrats to everyone! you all must look great! lol. but seriously, the compliments and encouragement I get from people on these boards is more meaningful than most of the reactions I have gotten from people in my day-to-day life thus far. it's a mixed bag of genuine happiness, surprise, scrutiny, jealousy, etc....

Hi everybody, A little background info: Had vsg in Fall 2012, lost 120 lbs, felt amazing! I got married, had a baby in Fall 2014, gained weight. Had another baby in Summer 2016, gained even more weight. I sought the advice of my bariatric surgeon, he recommended full bypass, and gave me a goal to lose 15 lbs, before he would schedule. Well, I've lost 40 lbs. I feel like I should be able to get back to my goal weight (165lbs) without having a bypass...but the task of losing another 80 pounds seems almost impossible. Has anyone on here, lost that much weight, without additional surgery? Thanks for reading.

My husband NEVER notices weight gains/ losses. Which is awesome when I got super heavy. But now I'm thinning out again(for GOOD) and I'm like, dude where my compliments at? I gotta fish for them sometimes, but once I point out that I've reached certain goals, or that certain things fit/don't fit, he will obvs be excited and supportive. Sometimes ya just gotta go get those notices yourself [emoji849][emoji23]

With battling weight most of my life 10 years ago I got a lap band put in. I am now 57 years old, 15 years ago I was diagnosed with type two diabetes At the time my Lap Band was put in my weight was 230 pounds. That might not sound like a lot of weight but for a male 5’8 it was a lot for me. In addition to having type two diabetes I have also had two neck surgeries and three back surgeries over the years. The Lap Band gave me significant weight loss. I got down from 230 to 160-165. I also lowered my Metformin from 1000 mg to 500 mg. I lost approximately 70 pounds of weight and maintained this weight for about nine years. To say that it was an easy road for me would be lying, I was constantly having the band loosened tightened loose and tightened like being on a roller coaster. I had problems with the Lap Band being so tight that I was having major acid reflux problems. In addition to that I had some small ulcers around my esophagus next to my Lap Band. Last year I decided I had enough of this and had a lot of fluid taken out of my band. The major acid reflex went away immediately however, I still have some ongoing minor constant heartburn and a small cough because the Lap Band is still in place but a lot of the fluid has been taken out. Because of that removal of fluid I have gained back for the first time in 10 years 35 pounds. Now I am back up to taking the same amount of diabetic medicine Metformin 1000 mg because of the 35 pound weight gain. The bariatric center in Los Angeles is recommending that I conceivably switch to a Bypass Surgery and not a Sleeve. This decision is not completely final yet, and the decision towards leaning towards a Bypass Surgery rather than a Sleeve because of the acid reflex problems I’ve had for so many years which only really developed soon after getting the Lap Band 10 years ago. My next surgery would be involved removing the Lap Band and switching to a Bypass Surgery all at the same time in one surgery. As in all surgeries there are risk concerns for changing the body anatomy, however regarding the Bypass Surgery my new understanding is the body does not absorb as many vitamins and nutrients as it would from a Sleeve Surgery and there is a potential for hair loss and dumping and other potential complications? Any advice or opinions from anyone that has been down this same kind of road would be much appreciated. Thank you for your time and concern. Hopefully one day I can help someone else.

With battling weight most of my life 10 years ago I got a lap band put in. I am now 57 years old, 15 years ago I was diagnosed with type 2 diabetes At the time my Lap Band was put in my weight was 230 pounds. That might not sound like a lot of weight but for a male 5’8 it was a lot for me. In addition to having type 2 diabetes I have also had two neck surgeries and three back surgeries over the years. The Lap Band gave me significant weight loss. I got down from 230 to 160-165. I also lowered my Metformin from 1000 mg to 500 mg. I lost approximately 70 pounds of weight and maintained this weight for about nine years. To say that it was an easy road for me would be lying, I was constantly having the band loosened tightened loose and tightened like being on a roller coaster. I had problems with the Lap Band being so tight that I was having major acid reflux problems. In addition to that I had some small ulcers around my esophagus next to my Lap Band. Last year I decided I had enough of this and had a lot of fluid taken out of my band. The major acid reflex went away immediately however, I still have some ongoing minor constant heartburn and a small cough because the Lap Band is still in place but a lot of the fluid has been taken out. Because of that removal of fluid I have gained back for the first time in 10 years 35 pounds. Now I am back up to taking the same amount of diabetic medicine Metformin 1000 mg because of the 35 pound weight gain. The bariatric center in Los Angeles is recommending that I conceivably switch to a Bypass Surgery and not a Sleeve. This decision is not completely final yet, and the decision towards leaning towards a Bypass Surgery rather than a Sleeve because of the acid reflex problems I’ve had for so many years which only really developed soon after getting the Lap Band 10 years ago. My next surgery would be involved removing the Lap Band and switching to a Bypass Surgery all at the same time in one surgery. As in all surgeries there are risk concerns for changing the body anatomy, however regarding the Bypass Surgery my new understanding is the body does not absorb as many vitamins and nutrients as it would from a Sleeve Surgery and there is a potential for hair loss and dumping and other potential complications? Any advice or opinions from anyone that has been down this same kind of road would be much appreciated. Thank you for your time and concern. Hopefully one day I can help someone else.

I had pretty big boobs for my frame all my life. I popped out one kid, and I didn’t even breastfeed (I pumped for 4 weeks only). And it wreaked havoc on the state of my boobs. I had a breast reduction a year or so later, and they were good for a while (still big enough, but at least not droopy any more...i was wearing a 34C for a while after the reduction). Then I gained alot of weight the the next 10+ years and got up to a 40DD/DDD. Losing the weight deflated them, and re-droopified them. Not as droppy as after the kid, but enough to make me want the breast lift. Age, number of times there was weight gain& loss, speed of weight gain/loss, genes, and overall amount of fat lost will determine the sagginess of your boobs in the end. While muscle training may increase the size of the pectoral mucsles behind your boobs and give your chest a bit of lift, no amount if exercise will fill the sacs of deflated boobs. That’s just science. Depending on how much it bothers you, you can still easily look fabulous with a really good bra, no matter what the state you boobs are in. Good Luck ! ❤️

weight gain during year 3 is very common - with or without PCOS. Some people have had luck with Weight Watchers, intermittent fasting, or Keto. Some just go back to what they were doing in year 1 - not all the way back to protein shakes and purees, but the whole protein first, then non-starchy vegetables, and maybe an occasional serving of fruit or whole-grain carb. If you do the latter, start tracking (if you're not doing it anymore) to see where you're averaging calorie-wise, and then start cutting back from that. I find that easier to do if I cut 100 calories at a time rather some drastic cut. different methods work for different people - so just find one that works for you. You CAN lose regain - although it's much slower and harder than it was when you were in weight loss mode.

For me it was life changing in every sense. The surgery was quite simple, minor pain at the incision areas, but aside from that really no serious pain. Thankfully, I didn't have some of the 'gas pains' that others have. No nausea, vomiting or extreme discomfort. Not really very hungry for the first few weeks either. I'm not sure if it's common practice, but right before my surgery and at my 6-month check up I had a "Myers Cocktail" which is basically a bunch of vitamins given through IV. Really helped with recovery and energy levels during a time where you really can't get much energy from food. YMMV, but for me recovery was super fast. I was eating pureed food by day 2 and solid foods by I think the end of week 2. Don't worry too much about calories in the beginning. Regardless of what you eat, you won't be able to eat much. Refried beans were a lifesaver for me the first few days on pureed foods, and the Ricotta bake that you see mentioned so much here was also a staple. Couple pieces of advice (again, everyone's different but some of what I see on here leads me to believe that the issue is more frequent than some others): Pay attention to your water. Sounds silly, but right after surgery I had no interest in drinking anything. I had to remind myself to drink water. So I started carrying around my water everywhere. That helped. Kept me sipping throughout the day. One of my biggest issues pre-op was that I ate fast, and when I say fast I mean really really fast. I honestly believe that was a huge part of my weight gain as it led to difficulty digesting, overeating, etc. Use the time in the beginning to re-train yourself on eating slowly and chew chew chew chew chew! Even your liquids. Even your pureed food. Even your smoothies. Chew it all. Sounds weird, but helped me monumentally. Don't try to jump into exercise too early, but don't put it off too long either. We all do this to bring about changes beyond food. We all want to be more active, make healthier choices. It's easy to want to jump right in, but I would wait until you get clearance from your doc (ask) to start, because any injury can cause complications with the surgery or set you back in your recovery or both. Also, you don't want to wait too long because it's WAY TOO EASY to fall back into old habits. Ask your doc at every checkup if you're cleared to exercise and when you are, get moving. Have a plan ready to go. Start with walks and move into beginner plans if you have to and then progressively take on more as you can, but start. Don't get discouraged with stalls. They happen. For some they happen sooner than others, but I think most of us experience them. Just stick to your plan. There are some good articles on here about how to work through stalls. Stalls will hit your ego a lot harder than your overall progress, I promise. Keep with your plan, and you'll push through. Use this time to change what you eat. Just because you can't eat as much of something does not mean that it's a good thing to eat. In the very beginning (first 1-2 weeks), you just need to get something in. Once you start back on solid foods, make sure you're choosing healthy foods. That doesn't mean you have to count calories, macros or any of that. Of course you can if that's what helps you, but I would use this time to find what works best for you. Since you can't eat a lot of different foods, chances are when you start back on solids you'll likely be eating only 1-2 different foods at a time. There won't be 3-4 sides, etc. It's a good time to see how different foods make you feel. Some people do great on a high-protein, low-carb diet. That didn't do it for me. I stuck with the physician's plan for the first 30 days (high protein), but I wanted something more balanced and more sustainable (for me) long-term. I made the change to go to a whole-foods based diet, and it's what I still do today, almost 5 years post-op. I stay away from anything processed as much as I possibly can. This doesn't limit me as much as other diets and it worked really for me. Try foods and see how they make you feel. Weed out the ones that leave you feeling bad, bloated, tired, etc. Enjoy what you couldn't enjoy pre-op. When you get out there and start enjoying the things that you may not have been able to do before your surgery, it's automatic motivation to stay on plan. If you have activities or certain things you have had to sit out because of your weight, having the opportunity to do them is like being a kid again and doing these activities for the first time. Remember those experiences. They will get you through any challenges you might face. Remember that times do get challenging, but that's why you're here. There's a lot of support here. I'm sure you have family and friends to help in that arena as well, but there's something about talking with people who've experienced everything you're going through. Don't forget that we're here. Sorry for the long-winded post, but I hope this gives you some encouragement as you start your journey. Best of luck to you and please keep us in the loop with how everything is going!

Hey everyone, I had gastric sleeve surgery back in 2014. I did pretty well over the years coming from almost 240 all the way down to 140 but now about 165. I'm definitely a stress eater. This year has been a struggle & I'm not even talking about COVID. No point in sharing my reasons because they don't help. I'd like to get back on track but I don't even remember how to start. I'd like to ask what you guys are eating on a daily basis; a sample menu perhaps? I'd be so grateful if anyone could give me pointers on how to get back on the right path! Many thanks, Fran

@Jessless great work on the one pound. It all adds up over time. Additionally getting the snacks out of the house always helps! It sounds like you know what the issue is. I had a poop ton of weight gain and I am now down 13 pounds. I’m over the moon. It has been S L O W and steady but I went back to protein first, not drinking with meals, cutting out crappy food, and exercising 4 days a week. We’ve got this. Keep at it and be patient with results.

If Aenta is administrator of med in your state they might have a say, but its doubtful. There just an intermediate paperwork pusher. I'd do your best to not be over the start value. Don't over worry about it or the stress will cause weight gain. Eddy Blaine Brown II