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Routinely knock out 60hr weeks. I think I took three weeks off after the sleeve and that was largely due to a massive abdominal hernia that was repaired at the time of the sleeve surgery. It was my 3rd such repair...and has held up great these last 9 years. You may be able to flip the script......and make those 80hr weeks your best weight loss weeks. There is going to be a time when the protein shakes are the ticket...then maybe those small foil packs of tuna and salmon. Food won't be an issue that occupies your thoughts. You'll laugh at the vending machines and shoot 'em the bird. Make sure you buy all your necessary supplements & shakes and tuna packs and load up your desk or locker. Having those on hand will be one more way to keep food off your mind. You'll not be wondering what you are going to have for lunch every day. You'll have that covered. 8 weeks will be a great amount of time to recover and acclimate. You'll lose a pile of weight in those 8 weeks, too. Those 80hr weeks are going to feel much, much shorter from this point forward. Congrats. Go kick some ass. You got this.

my 2 (or 5) cents about plastics: - first, as mentioned above, there is no absolute timeline in regards to losing (or gaining) weight post wls. i am 7 yrs post op this year. i lost what i wanted to (110 lbs) in 7 months. then had a net loss of another 10 lbs over the next 5 years. THEN i lost ANOTHER 15 lbs in the past year alone. for those keeping track that 25 lbs since calling goal back in 2019. lesson here is that it's not the surgery that dictates your weight, is your lifestyle and genetics. - second, i had plastics 1 year after wls surgery. i would have had it earlier, but my surgeon of choice was booked. from the time i booked plastics to when i eventually had it done i was 15-ish lbs lighter. so there was no "stable weight for six months" requirement for me. - third, my plastics removed a total of 400g off my body weight (it was basically just skin and little to no fat), so depending on what your body composition is like before plastics, it may not make a difference on the scale afterwards. - fourth, i weighed about 115 lbs at plastics time, and today i weigh about 100 lbs (dont be alarmed, i'm like 5'2" tall, probably shorter as i'm shrinking in my old age, lol, i also eat lots and admittedly, badly, but i exercise like a crazy person, so it all evens out, ha) my plastics results did not suffer in any way, in my opinion. if anything, the places where i DIDNT get plastics look so much worse at my lighter weight (i'm looking at you inner thighs and butt). my arms (lift), boobs (lift) and stomach (tummy tuck), where i did get plastics, still look fabulous. - fifth. for me, i didn't get plastics for anyone else, or to impress them, or to snag a husband/wife. i still never really understand why others think i do all my shopping and dressing and med-spa-ing for THEM. i do it cuz *i* want to. i want to look in the mirror and think, daammmmmnnnn. my confidence was re-instated after the weight loss (i can do anything! AND i look hawt!) , with the plastics and the exercise, my confidence level is thru the roof (i can do anything! AND i look SUPER hawt!). aint nothing wrong with wanting to look and feel great. i mean, who WANTS to NOT like how they look or not like how they feel about themselves?? and if liking how you look/feel means you get rid of some extra skin, or pump up your boobs, or lift your ass, so be it. you wont find any judgment here. be awesome. good luck! ❤️

I feel so much better! Yes, i did it for health reasons, but I won't lie and say it don't look better now. The only heath problems I realy had apart form the obesity were PCOS os NAFLD (nonalcoholic fatty liver disease). I don't know if the PCOS symptoms have really improved or not since I was asymptomaticfor a long time, but I have been told my liver function has improved significantly because of the weight loss! I used to cycle everywhere when I was bigger, but I couldn't conquer the hills on the bike. (I live in North London, which is basically i smal mountain range compared to the rest of London) Now, I cycle everywhere and I can make (most) hills my b*****s. Just one left that I am training to climb on the bike. I have no reason to take that route except pride at this point. Yes there is long term damage to my knees and hips, but that wasn't all weight related, I just have flat feet and had problems with my posture that was exacerbated by my weight problems. I'm glad I did this and the health benefits are definitely the main ones.

I LOVE that you're losing at a sustainable rate. There is so much data to suggest that crash diets almost never work, so losing ~1-3% of your total body weight per month is the sweet spot. I'd take it even further and say 1-2%, which is right where you're at. If I could give advice to anyone either trying to maintain after initial weight loss, or fighting regain like you are, it would be threefold: Focus more initially on learning to eat a healthy diet and less on the weight loss itself. People that follow the fad diet du jour when losing weight almost always regain because they very quickly go back to their old eating habits. If instead you focus on first learning to eat like a normal weight person that eats a healthy diet, you'll be setup for real success. Many people find that if they do this first, they don't really have to "diet" because their bodies actually start to self-regulate calories. Part of this is because when we eat a wide variety of foods that are nutrient rich, our bodies don't fire off signals to eat more. If that doesn't happen for you, there are strategies to slowly reduce intake while still maintaining your healthy diet. The second thing is to focus on instituting a regular physical activity routine. I feel like way too many people skip this, but the data is clear: up to 90% of people that have lost a lot of weight and successfully kept it off for years do a lot of exercise. In fact, the average for those successful losers is ~1 hour per day on most days of the week (roughly 300+ minutes a week.) This is twice the minimum recommended amount to stay healthy, and twice what someone needs that was never significantly overweight. I want to be clear, this is not really a huge factor in weight loss, but in weight maintenance, it's critical. Finally, focus on behavioral modification. Let's be honest. Most of us got as big as we did because we had an unhealthy relationship with food. We may never actually "cure" ourselves of that, but we can learn to fight back. Probably the best thing to do is work with a therapist that specializes in behavior modification, especially regarding weight. I realize this is not an option for everyone due to cost or availability, but there are also lots of good resources available online. Anyway, best of luck and keep up the good work!

As @SpartanMaker said don’t compare yourself to others. Doing so can lead to much angst as it messes with your head. But being human I get that you might want to have a bit of an idea of what you might expect. Your team can advise you on this too. if you use a calculator to try to predict your weight loss and you understand it’s based on averages and only gives you an idea of how much you MIGHT lose then it’s okay. A calculator is not a guarantee of how much you WILL lose. So don’t use it against yourself and you don’t match those numbers especially those giving time frame losses. For example I’ve done a couple of those calculators & I beat them on both weight loss (more) & time frames (faster) but that was me. Generally the average weight loss after a sleeve or bypass is around 65%. Averages for other surgeries are higher (70-75%). Of course factors like age, gender, height, medical history, current medical status, genetics, lifestyle, activity levels, etc. will influence your final weight loss. And even those aren’t guarantees. My advice is to count every pound you lose as a blessing & celebrate their loss.

Tried to reply earlier…using my laptop. It is acting up…time for a replacement, I suppose. I have an upcoming appointment with my primary doctor for annual physical. While I am in there I will ask him about this hair wizardry gel you mentioned. Thank you. Many thanks. On one hand, what am I concerned about…I am a dude. We lose hair at some point…most of us, at least. It is no biggie. On the other hand I am gonna hold up before grabbing the razor and going scorched earth, lol. Explore the options and whatnot. Slowing my roll and investigate the possibilities. Good news is that I am now 1/4 way through my 30 day supply of these bovine collagen tablets…on day 2. This afternoon I snorted at the neighbors dog and stamped my hoof….didn’t charge, though. Prolly will after a few more days at this intake.

First of all, great job so far. You're doing fantastic! My understanding is the same as @catwoman7 regarding insurance companies. They typically don't want to pay for anything they don't absolutely have to and that definitely includes anything they consider purely cosmetic. Aetna may be different, but I doubt it. Up front, I wanted to mention that not everyone actually even needs plastic surgery. The younger you are and the less weight you had to lose, the more likely it is that eventually your body will adjust to the weight loss. Yes, it can take a few years, but you may find in the long run you're better off not going down that route. I also wanted to comment on your timeline. I think there's a bit of a misunderstanding that we somehow stop losing at 1 year, 2 years, or some other defined date. That's rarely true, so I would suggest not thinking that your weight will stabilize at 12 months. You may get to 12 months and decide you'd like to go lower. Heck, I'm 2.5 years out and still losing (albeit really slowly). I'd suggest waiting until you you feel like you want to start maintaining, rather than just going by an arbitrary date. If your weight stays stable for a while (I personally would go longer than 6 months, but that's me), then looking to plastics may be appropriate. I mention this because I think it would be awful to have plastic surgery, especially if self-pay, then lose even more weight and still end up with sagging skin that you dislike.

I recently came across this expected weight loss calculator/predictor: SOPHIA Bariatric Weight Trajectory Prediction. Thought it was pretty neat! Sounds like you’re off to a great start!

Minoxidil may be your new best friend, @Dub: topical (I prefer the liquid over the foam but others love the foam) or as a tablet (avoid if you have low blood pressure). Takes a couple of months but you will see regrowth. I use it on my eyebrows and for a thinning spot above my temple (thanks to menopause) and I have visible regrowth. Very excited about my brows coming back in after many, many years and some scar tissue from micro blading. Downside is you have to use it forever. You will see extra hair loss initially but the it settles and your new hair starts to grow back. It can be a bit expensive but look out for special deals.

That's probably a sound approach. Certainly much better than the suggestion I gave the girl cutting my hair.......asked her if she could sweep up some off the floor and use her products to adhere it to my scalp. She had a great sense of humor. Will be making a pit stop in there again on Thursday. That'll be my 4th day on the collagen tablets. I just gotta take the entire 30-day supply in those 4 days. Maybe she'll see results.........

@Dub "Androgenetic Alopecia" (the hair loss you have now), is different than "Telogen Effluvium", the hair loss that most of us have immediately after weight loss surgery. You hair loss is not the result of diet issues. The good news is there are treatments available if you want to pursue them. Probably your best bet is to talk to your primary care doc to start the process. They'll know which specialists to refer you to in your area.

Timely seeing this thread topic. Hair loss concerns here as well. Not simply from weight loss, but from getting older and fighting the DNA that threatens to thin my hair severely. I tried the head shaving thing a few years ago and it wasn’t for me. Got outa the shower looking like I had been in a cage match. Bleeding from some new cut all the time. Some dudes rock the bald look. I will do it if forced to, but in the meantime I am gonna throw money at it and hope for the best. Currently taking daily vitamins, iron, fish oil, potassium and started the collagen caplets this morning. Protein intake is good. Drink BCAA’s daily, too. I really noticed it when getting a haircut recently. The gal cutting it was cracking jokes about trying to work with my Donald. I was laughing, too….but geesh. Dis getting ta be serious bidness.

There are calculators that will help you ballpark estimated weight loss. I loved doing that before my sleeve. They're based on large numbers of people who have the various surgeries, but they are just averages. So some people will lose tons more and some tons less, for various reasons. Based on those my average predicted end point (based on thousands of people with the same starting BMI/weight but with a multiplicity of different variables, as Spartanmaker says) was around 200lbs (I started at 276 and would have honestly been thrilled with that). In the end I bottomed out at 138 and have maintained for a couple of years at 6-14lbs above that (albeit with a degree of effort because I like this weight and have invested a lot of money in a wardrobe that I just don't want to replace one size up, LOL). Sounds like you're already doing amazingly with your pre-surgery loss and that's all weight you won't need to use your sleeve to lose so you're ahead of the curve. The exercise you're doing sounds great too. I think you've got this. Can't wait to hear how well you do!

After the initial giant weight loss, your individual blood tests dictate what you actually need.

My number one piece of advice would be not to compare yourself to others. I get it, it's comforting to know someone else went through the same thing as you, but when you factor in genetics, epigenetic, diet, exercise, starting weight, % lean mass, etc. any comparisons will fall short. This will become even more important after surgery when the process becomes really hard and you feel like it's not working like it should. We see multiple posts a month from people who are losing weight, but it's coming off slower than they expected and they want to know why. The response is always the same. Trust the process, we're all different and how we lose weight is going to be different. I think it's fantastic that you're losing so well right now. Keep in mind that the rate of loss WILL slow down some as you lose more. That's perfectly normal, so don't let that discourage you from continuing to eat well and exercising. I would caution you about fasting. There's no scientific evidence that it works any better than any other method of calorie restriction. Normally I'd say do what works for you, but fasting is not something you'll be able to do post-WLS (at least early on), so it might not be the best thing for you right now. Especially since your real goal at this point is to learn how to eat better, I'm not sure fasting is the best plan currently. I also think you need to include more cardio into your exercise routine. I love resistance training for lots of reasons, but cardiovascular endurance is the number one predictor of all cause mortality, so please don't skip it, even if you don't like it as much.

Hey guys, brand new here. Halfway through my bariatrics process, and just a general question, hopefully from people who are around my same size? Started this process at 373 pounds. Goal weight to achieve was 345.6 pounds. Im currently at 337 pounds and still dropping, as I cut everything out of my diet first day after consult. Started fasting, portion control, intake control with what I was choosing to eat, and hitting the gym 5 days a week for resistance training. I am 6ft tall. Mainly posting to see what process yall went through in how much expected weight loss. I know all bodies are different, but trying to get a better idea to compensate for loose skin. Still have 3 months to go until im scheduled for surgery due to insurance requirements, and im not stopping now. Im ready for the better side of me I can find. Any information is greatly appreciated! Currently looking at getting the gastric sleeve done.

Probably a good idea to postpone your appointment. I'm skeptical as well based on the study on the web site. I would focus on your personal health and wellness and less on the physical look of your body. Your body will end up being what it is when you finally meet your goal, which you have met from your scale. Body sculpting or plastic surgery is probably the next thing you should look into but it is not necessary for a healthy and well body. Remember that it takes more than just physical beauty or thinness, it also takes a mental health well being too, so focus on your mind and realize how much you have lost, if you are healthy now and can move like never before. Obesity is a disease that never goes away with the loss of weight until you deal with the loss in your mind, and look in the mirror and see someone who is healthy. This is just my personal point of view, but then again I don't care what others think about my body, it is my mind and quick wit that people enjoy about me. I didn't lose me, I only lost weight and don't care that I have some sagging skin or dimples here and there. My beauty is on the inside, right? You might also have a body image issue and might need to talk to someone about it. Having Lymph edema is different than lipo edema, one has compression to assist with the circulation of the body, the other is fat fat cells. You are saying you have fat fat cells, but you have compression devices, which is confusing. Which do you have? Problems with your lymph in your lower legs, or fat cells that have swelling?

I feel like you may be overthinking the malabsorption component of RNYGB? Yes, this does elevate the risk of nutritional deficiencies for some vitamins & minerals since absorption sites are somewhat bypassed. You've got to keep in mind though that ALL bariatric surgery patients are going to be nutritionally deficient, at least during the weight loss phase when you'll be eating a very low calorie diet. Very low calorie also means very low amounts of most vitamins and minerals. Even if your diet were perfect (virtually no one has a perfect diet), you just can't consume sufficient food to make up for your nutritional needs. Yes, you'll eventually get back to eating more normal amounts, but until then, bariatric multivitamins have been formulated to make sure you don't suffer from nutritional deficiencies. Keep in mind too that the supplementation recommendations are all based on averages and in reality very few of us are average. The volume of food and the nutritional quality of said food, as well as genetic and epigenetic factors all influence what you'll be able to get from diet alone, as well as how well supplementation works for you. As a result, ALL supplementation recommendations are set up to ensure ~95% of patients will have no nutritional issues. Bariatric multivitamin manufacturers also tend to over-rotate on anything that does not have an established upper limit since they know that their consumers will be having frequent labs done. If someone were to be deficient in a particular vitamin, then they're likely to seek out a different product. You can see this pretty clearly by simply looking at something like the ASMBS recommendations vs the massive amounts of many vitamins found in bariatric multivitamins. Know too that it's entirely likely your bariatric team will have you adjust your supplementation after your labs are done post operatively. Many will want to do labs around 90 days, 180 days, then annually thereafter to monitor for nutritional deficiencies (or sometimes even excesses). I for example had to modify what multivitamin I took because my B12 level was sky high. I get the cost concern, and you may be fine with just a regular multivitamin, but keep in mind your overall food bill should drop since you'll be eating so little. This should more than cover the cost difference, so personally I'd err on the side of caution and take a bariatric specific multivitamin at least while you're in the fat loss stage. Once you're in maintenance, you might be able to adjust that (with your doctor's blessing).

We started off about the same weight, and at month 4 (I just checked my spreadsheet), I'd lost 52 lbs, so not much more than you. It seems to be pretty common to lose about 10 lbs a month for the first few months (although some people have a big drop the first month (I did not), which is likely a lot of water weight - before settling in at a slower rate of loss). After the first six months or so, I dropped down to maybe five lbs a month - and after I passed the year mark, there were some months when I only lost about two lbs. It took me about two years to reach goal. If you stick to your plan, the weight will come off, whether fast or slow. There are so many factors that influence your rate of loss - age, gender, body build, how muscular you are, your metabolic rate, how active you are, whether or not you lost weight before surgery, starting BMI, etc. The only things you really have any control over are how closely you stick to your food plan and how active you are, so if you do well with those two things, the weight WILL come off. I ended up losing over 200 lbs, so definitely don't lose hope! P.S. of course, if your scale actually weighs differently than the one at the doctor's office, well then there's that, too...

Yes, I have type III lipoedema as diagnosed by two GP and a specialist consultant plus confirmed by my bariatric team and a cosmetic surgeon and in addition other female family members have the same condition. Before my sleeve I was at stage 3 but now I am, thankfully, closer to a stage 2 appearance wise. I have been prescribed compression clothing in the past but it just helped ease the pain/heaviness, I did not see any physical improvement. I have prescriptions for drainage massage which does help a bit. It is on each leg but not as pronounced in the upper area now that I have lost weight and is not an issue for me the way the lower part is, from just above my knees to my feet. I just did not see the need to go into all of this personal information to ask the question I did above. About the machines I am having my doubts as the more I read about it, people have to keep going to maintain the losses they may be achieving which then means it is not sustainable as far as I can tell and becomes a money pit. I will be postponing my appointment this weekend, for other reasons, and unless I come across some startling new information I will probably not reschedule.

Aaah scales. They have the power to make or ruin your day just by standing on them. Did you weigh more at your doctor’s than at home initially? I weigh differently at my GP, my follow up doctor, the hospital & at home. So they keep their records and I keep my mine. The actually weight loss is the same just the numbers are different on the scale. Check your batteries. How old are your scales? As my old scales were failing my weight was erratic until they finally read I weighed like 100kgs more than I was. They went in the bin & I bought new ones that day. Remember you have lost 43lbs in 4 months so averaging 10lbs a month. That’s fantastic.

I'll be honest. I'm skeptical of this, but before we get into that, I think you may need to clarify something? You stated that you have: This would be highly unusual, since lipoedema is normally seen over the entirety of the legs, but is typically most pronounced in the buttocks & thigh area. Have you actually been diagnosed by a physician? If it's just your calves, it would be a lot more likely for this to actually be muscle, not fat. It's extremely common for formerly obese people to have larger than normal calf muscles. This is so because basically you've spent your life doing heavy calf exercises daily just by walking around with all that extra weight. If this is the issue, your options may be somewhat limited. Eventually, with targeted diet and exercise, your calves may shrink, but it won't happen quickly. Another fairly common cause would be another type of edema such as lymphedema. Edema is common in obese people, but lymphedema specifically often goes undiagnosed. Unfortunately for some people, losing weight may not fix the problem. Bottom line, if you have not already done so, I would strongly encourage you to talk with a doctor about your concerns so you can get an accurate diagnosis. Now for my thoughts on hypoxi and the reasons I'm concerned: The basic principle here goes against our current understanding of how fat loss works. The only study linked on their website doesn't actually show ANY increase in fat loss. All it shows is a reduction in size of the "treated" area. This is a HUGE red flag. If the subjects didn't lose additional weight, even in the main study they link on the site, then what caused the size reductions? The most plausible answer is that this was simply fluid loss and thus extremely temporary. The study linked does not appear to have ever been published in a peer reviewed journal of any kind. This is another huge red flag. The fact that no one else has made similar devices seems odd? If the science were sound and the results reasonable, then copycats should be everywhere. Quality medical devices simply don't exist in a vacuum. It's also a bit sketchy to me that these devices can only be found in their "studios" and nowhere else. They seem to want to tightly control things, which seems odd if this really works as well as they claim? Why not sell them to health clubs, rehab facilities, etc? Best of luck whatever you decide.

I am doing a trial session of hypoxi (https://www.hypoxi.com/en/) on Saturday as I am hoping it will help with the bad lipoedema in my calves and ankles which I feel kind of takes away from all the weight loss and how well I have done over the last almost two years as I still can't wear anything that does not cover it all up as I am so self conscious about and it depresses me a bit as I can't see that I will ever reach my dream of being able to wear calf high boots. I haven't been given a price list yet, as Saturday is a trial, but I am sure it will be very costly so don't want to get sucked into a gimmick and I was wondering if anyone else has done sessions to help with toning (not necessarily lipoedema related) and if you have any feedback? The one immediate good thing I can see from what I have read is that I won't have a problem following their nutrition guidelines which is not to have high fat or high carb foods a couple of hours before a session and or for a few hours after a session.

I realize this is an older thread...but it is still near the top of page and I suppose the "most recent" of it's type ? A pile of stuff has occurred in my life since I was active here on B,Pals. My 10th year sleeve anniversary is coming up later this year. Lost a ton of unwanted weight as a result of the sleeve. Daily trips to gym were the norm. no longer drank beer, but found that sugar free mixers and high grade tequilas and vodkas made for some FUN fuel for many adventures. Storm clouds loomed heavily over my marriage. Some unresolved issues resurfaced in a big ugly way. It appeared divorce was most probable. The storm finally broke....my ship hadn't crashed on the rocks... my wife still my first mate, ally, friend and lover....marriage was stronger than ever. 6 years ago she received a diagnosis for stage 4 breast cancer. Immediately stopped drinking when that diagnosis was delivered. 4 years ago she succumbed to the evil hell of cancer. She fought it with superhuman strength and courage. I will live the rest of my years in awe of her bravery and grit. It has been an incredibly tough go of it since. Her unshakable faith stoked my own faith. That is what I leaned on heavily....and will continue to do so. Early last month, the anniversary of her death was approaching. I was filled with this feeling of guilt in addition to the ever present loss & grief. The guilt was spurned by the realization that I had taken zero steps towards what she had told me to do...afterwards. She was clear that she wanted me to live. I was going to work every day and that was the extent of it. I'd maintained zero friendships and seldom contact my family, other than our son. The hurricane damage had been repaired on the house, yet I'd done nothing towards moving stuff back into the rooms that were repaired. Was living off take out and drive through garbage because I couldn't bring myself to cook...painful memories of meals made & shared together. ENOUGH. That was the word that hung heavy in the air. I could almost hear it as if she'd spoken it loudly. ENOUGH, GREG...IT IS TIME TO MAN-UP I began taking inventory right then. I vowed to not let another year go by with me still living in a bubble...not treading water, but sinking. I have remained alcohol free since quitting those six years. Clear headed and no monsters to address there. Good. Doctors appointment for annual checkup had revealed several things....top of which was my blood panel looked like trash...precisely because that is what my diet consisted of....pure trash. There had been some weight regain...but nothing that I felt like would be too difficult to lose....if I would get my arse in gear and make the lifestyle changes needed. Things were going okay on my job, simply because I'd let it be my focus...the only thing I rallied for. Spent way too much time there. Immediately scheduled some vacation time off and road tripped to visit family Visited my wife's grave....our gravesite and did so with a different feel....loss and missing her....but, feeling more stable for the first time since losing her. She'd forced me to sit down, months before passing, and listen to her on a certain subject matter that I was avoiding. told me to live...how to live....wanted me to continue on with all aspects of life and was very descriptive. She would make ongoing instruction in the months ahead. I couldn't speak in reply...just nod that I understood. She was so brave that she could accept things and love me enough to coach me how to live....afterwards. I was too much of a coward to discuss it....just sat there and listened and acknowledged. She would KICK my arse if she saw the state of low I'd been to. One day, perhaps, I will be able to show her that I heard her and rallied. That time will be at the end of my days, however. Until then, there is much life to live. RESETTING THE SLEEVE WAS EASY: I simply swapped over to strict keto. After two weeks I felt much better....after a month I no longer wanted the crap foods and I no longer wanted big meals. The smaller meals reset things for me. There is a noticeable restriction and feeling of full that occurs now. I haven't finished a meal in a month...unless it was a 1/2 sized meal. Sipping water all day...cutting off prior to meals and 30 mins after. Zero sugar intake an damn few non-fiber carbs. Supplementing with vitamins, iron, potassium and calcium. Moving more....but still not ready for the gym and all the people. Slowly feeling emotionally more "awake". Keto, with an eye on the overall daily calorie intake is how I live now. I don't see changing that. By the time that 10th surgery anniversary arrives, I suspect I will be at my all time lowest weight since college. The sleeve is still there. It just needed me to treat it right and not override it with trash food.

Hello, I was 63 when I did the sleeve. The only problem was, i had lost 60 pounds and got knocked over at the dog park which stirred up my back injury. I think if I had been younger, it might have been different. So I had to go on steroids 9 months after surgery and the weight loss came to a shcreaching halt! I have not been able to lose anymore, but at least keeping the weight off.