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I had a VSG on 7/8/2013, with that I experienced a leak that nearly killed me. I lost 80lbs total, but slowly regained nearly all the weight I lost. With the sleeve I had GERD that caused a gastric bleed in 1/26/24. I have seen all the consults that will be needed for acceptance. I am still scared but excited as well. I have told my immediate family ( my husband & kids). I don’t feel comfortable telling my brothers. They will be less than supportive. None have any weight issues. Although I am sure they love me, I need to make the best decision for myself. Am I wrong for the decision to keep this decision private?

I didn’t have band either, but I had the sleeve and gained it all back. My surgeon explained that obesity is very complex and for many people the sleeve is great and it’s less risk so they go with it when they think it is appropriate but it does not offer the same metabolic changes as the bypass or the SADI (which is what I revised to) that some people need in order to be successful. I believe the Lap band offers even less metabolic changes than the sleeve, if any. Basically with these surgeries mostly everyone will lose weight, it’s the keeping it off part that’s difficult. And that’s when you need a surgery with enough of a metabolic change to help you long term. I am 2.5 months out from my revision and I was so worried about the same thing, losing it only to regain again but I can already tell that there is more or a metabolic change. I mean I am exercising!! Me….everyday!! That never would’ve happened without this surgery. Healthy foods taste better and my mood has improved. I have tons of energy and motivation. I never got that with the sleeve. The bypass has been around for a very long time for good reason. For me the sleeve and SADI difference has been night and day. I think you will find a similar experience with your Bypass.

Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

Hi 👋 currently at the pre op anesthesia appointment with a mild cold and scared my surgery would be postponed (even tho it's for my safety) but I think I am already mentally ready for it so I just want to get it over with. From where j am, there is no pre op diet. I just get into it so I've been having mini food funerals .. I am ready to do it and I'll need ur support because my negative mind gets the best of me. (What if I don't lose weight? What if I regain it all? What if .....) My operation is confirmed for 15th Aug (if I pass the anesthesia today) Wish me luck

Welcome PlantMom! There's already some really good advice here on your query. If you can spend some time reading this forum generally you will gain SO much knowledge in a short time. Well worth it. I'm 3 years post sleeve. It has suited me very well - I am 5'9" and was 276lbs before I started my WLS journey, so not that far off your stats. I made a positive choice to have the sleeve based on minimum changes to my anatomy. My surgeon laid out the pros of that Vs the bypass (he only did those two ops) and I decided. I would be really concerned about anyone trying to shoehorn me into what was easier for them. I did have reflux when I was morbidly obese but I lucked out and it actually improved after I lost weight (as it always had before) but if you're a fellow sufferer that might be one to consider carefully. In IRL I know people with sleeve, bypass, AND band, who have failed to lose, or lost and regained everything and more. WLS is a chance to re-think and redefine your relationship with food. I am saying this as someone still doing that and who will be negotiating that forever! It's a lifelong journey for those of us who were born with the propensity to gain gain gain weight in the obesogenic society we now live in. Choose your tool carefully and after as much research as you can. Even then it doesn't work out for everyone but I think it maxes out your chance that you'll be one of the lucky ones. I wish you all the best.

THIS ^^^^ I never dropped a lot of weight in a short time. I averaged 1-2 pounds a week and as long as the scale was moving in a downward direction I was happy. If I hit a stall, I stayed off the scale to preserve my mental health. LOL I kept telling myself slow and steady wins the race. Distracting myself with moving and thrifting. I found that I breezed through clothes sizes way faster. Which was sooo much fun. Almost 1 1/2 years after Gastric Bypass. I'm still losing pounds and inches. Not sure where I will end up and people are telling me to stop but I'm letting my body dictate that. For now. I walk a couple miles a day. That's it. Today I am 5 pounds from goal weight. And I personally know someone who had WLS GB many moons ago and regained the weight back and more. She's a bad reminder of where I don't want to end up. Enjoy the journey and WL and mentally prepare yourself more so, for the maintenance part when it comes. GL

Hi everyone. I'm really really new here. Just signed up some couple of minutes ago. I have undergone bypass surgery in 2021. It's going to be full 3 years pretty soon. I am also struggling with the weight-loss regain/comeback. It's almost as if it has been a 2-year-miraculous-weight-loss-bonus time frame where you lose weight almost automatically... Yes, in the last 12 months-or-so I have been neglecting systematic and disciplined exercise/physical activity. My dieting hasn't been particularly strict either... I'm just pretty much saddened for having regained almost 20 kilos again (around 40 pounds, i'd say? sorry, metric-system folk over here) and once more facing the REALLY REALLY hard struggle of losing weight once again, just as if I've never had the surgery. LUNAXINIAN, just like you, I'd really like to read/receive folks' advice if this same weight re-gain happened to any of you as well, and what did you do, how did you overcome it, and most of all, how did you manage to start losing weight once again?

So, I never had lapband, but I was exactly your starting weight and height last year and chose gastric bypass after 7 years of nutrition work and trying Saxenda and Wegovy with varying degrees of effectiveness but too high a cost and too hard to get with shortages. I was 250 in 2016. I got down as low as 205 in 2018. I slowly regained until I was back to 250, despite my best efforts. I'm now 11 lbs away from being back to a normal BMI for the first time since I was 18 years old! What I can tell you from my experience is obesity is a disease that never goes away, even if you lose weight. Your body will always want to be bigger without constant intervention. Surgery is the strongest intervention you can give yourself. Personally, I chose gastric bypass because I didn't like the idea of completely removing my stomach. It's still there, hanging out, not doing much. All my intestines are still there, just in a slightly different configuration. Plus, I know that bypass offers a somewhat stronger and more durable metabolic response, making it less likely to need GLP-1 meds in the future to maintain weight. If you have the lapband removed and do nothing else, realistically, you will probably be back to 250 within a few years and never be much lighter than that again FOREVER. If you continue meds, you might stay where you are or lose a little more as long as you keep taking the meds FOREVER. If you get surgery, you can reasonably expect to get down to 160 or less and maintain that for a very long time with reasonably good nutrition and exercise, hopefully with no other interventions needed (although you may eventually need meds). But no matter how you look at it, the struggle with obesity is forever, so you have to choose the option you are most comfortable with in the longterm.

I think you have absolutely got this. Forewarned is forearmed and you have definitely done your research. With regard to your two categories of successful maintainers I think there might be a crossover too. I did clean up my act AND I track everything. I regained 8lbs from my lowest weight about 9 months ago. I knew/know I was eating more than the approx 1600 calories I need to maintain (even if not eating crap) but wasn't upping my exercise. No further regain for a couple of months so I am hoping that's me done (?) Best of luck on your journey 😍 and interesting thread!

There is a dr who covers these meds from just about every angle in his podcasts. His name is Dr Matthew Weiner and he is a bariatric surgeon who prescribes the meds to patients before to try to prevent surgery as well as after if they can’t reach their goal or experience regain. He wrote a book about nutrition called pound of cure and if I remember correctly that is the name of his website as well. I subscribed years ago so I get emails about the podcasts and they cover a few things on each epksode but there is almost always something about these meds lately.

What do you mean. Did you reach your goal and start to regain or is it something else? I see you are about 40 pounds from your goal now so it certainly seems doable to turn it around if it’s regain. My first piece of advice as someone who regained all their weight and just had revision surgery a week ago is to reach out to your team. My second step would be to reach out for support here or otherwise and you have already done that. I did neither because I was too embarrassed and you can see where that led me. When I finally did reach out to them I wished I had done it sooner because they treated me with nothing but compassion and just wanted to help. For me the only real option was revision but you should have plenty others. My guess is their first plan of attack will be to go back to the basics. Reading labels, Logging your food and counting macros. Protein first, smaller portions and reaching your fluid goals. Seems like from your profile you are pretty active anyways but trying to Incorporate more activity if that has slipped a little. Just go back to it like you are just out of surgery. Well past the staged return to eating I guess but fairly early out anyways. Some people even start with the “pouch reset” Of a liquid diet for a week or two although most say that there is no real evidence that does much to reset anything. Make an appointment with your team now and start logging what you are doing for a week or so giving them a starting point and let them advise you of what you need to work on. There are other options now if diet alone is not enough but if you enjoy healthy eating anyways its likely portion size has increased a little more than you realize and that’s something you should be able to change. Once you do figure it out try to make changes one at a time if necessary to make them more manageable. Set lots of small goals to keep yourself motivated But most importantly keep reaching out to your support networks such as posting here as well as keeping in touch with your team. Your sleeve is still there. It will be a little harder than it was the first time but people have certainly done it. You have already taken the first steps Of recognizing the issue and reaching out here just keep taking steps and before you know it you will be losing again. Keep us Posted on any ups and downs so we can cheer you on. You can do it!!

Not sure what your coverage is for them but I strongly suggest you talk to your doctor about the GLP-1 if eating different is the cause for regain. Your tool is still there, you most likely just need help switching your diet back and the GLP-1 should take your appetite away almost completely making that a great deal easier. I have a friend that lost all of her weight and was actually losing too much and had to back off of them because she wasn’t getting enough nutrition. I had to keep reminding her to get in her protein and fluids. She has great coverage for them through her work insurance (she pays $25). I actually wanted to do them when I did my revision this year but I didn’t have adequate coverage for them and financially they just weren’t an option so I went for the revision. I talked to my doctor about waiting but she thought it would be a couple years before anything changed in terms of coverage and my labs were creeping up so waiting wasn’t a good idea. I am doing great in terms of weight loss but faced with another medical issue now, the gastro changes I’ve had aren’t making things any easier for me. Losing the weight is for sure the goal but if you can do it without surgery that’s always better. As far as I know revision is for people who gain without any real known reason. You are saying that you’re eating different for an emotional reason so you probably just need help changing back to your better habits both mentally and physically. Honestly, I think the GLP-1 will be the first option for many people in the very near future. They are considered safer at this point. It’s just a matter of them becoming more accessible for people. Take it with a grain of salt but it’s something I would at least consider before jumping to the surgery option.

For comparison, because I know your other option is a revision to bypass, I am 5 months post RNY and I can already easily eat a cup and a half of some foods, such as soups, salads, or yogurt and berries. I can often eat 3-4 oz of meat, or a full can of tuna, plus veggies along with it. My brother, who is about 15 years post-sleeve, can finish a regular plate of food in a sitting (by which I mean a reasonable serving of something like chicken, veg, and starch, not what they give you in a restaurant that has 1800 calories and is enough for 3 people). SADI will probably change your metabolism in a more powerful way than bypass because that is what the research shows it does. But since you've already had a sleeve, it's possible that neither revision will have the full effect on you that it would someone who is getting a surgery for the first time. And whichever option you choose, I do think in the long term, it's less about whether you can eat a certain volume of food and more about what food you choose to eat. Basically all bariatric surgeries typically result in having more capacity the further out you get, so it's what you do with that capacity that makes the difference in success over time. I can tell you that my brother has regained about half the weight he initially lost not because of how much food he can eat but because of how much beer he drinks every day (he admits as much). And if I regain weight in the future, I already know it will not be because I am eating 6 oz of chicken and 2 cups of steamed broccoli in a sitting. It will be because I haven't managed to curb my sweets cravings (and yes, I can still eat plenty of sugar and fat without getting sick) and too often give into the convenience of processed foods and simple carbs. Those are my weaknesses, so that's what I'm trying to work on now while the effects of the surgery are still fresh. But no surgery can fix it for me, unfortunately. Basically, any revision you choose at this stage will give you a new and more powerful tool to work with. No surgery will address the underlying destructive habits that lead to weight regain.

You want to do whatever possible now before regain happens. Go back to the basics. Make sure you are eating high protein, low carb! Use a calorie counter for a few days and see what you are generally taking in. I had a bypass in August of 2002. I ended up at one point due to mental health struggles going back to eating badly and regained about 100lbs, not all I had lost but most. One day I had just had it and changed my diet and did walking daily until I could power walk and complete 5k at a time which was huge for me. I haven't medically been able to work or go on walks this summer and I miss it. It helps my mental wellbeing to be out in nature with my favorite tunes. Setting small goals helps me the best. Then I feel good when I can meet them and am encouraged to make a new one. Virtual 5k programs really motivate me. Find what motivates you! I'm sorry you are struggling with bad depression. I've been there until I did a genetic test and found only 1 antidepressants works for me after decades of trying new ones, some obscure one was the winner. I feel so much better and way less SI. I don't know if this is allowed but you are welcome to add me somewhere if you would be interested. My heart goes out to you. I'm very non judgemental and open minded! I hope you have the best day you can! -pawsalmighty

I'm in Ireland and our healthcare system is totally different. Might your first port of call be your GP? They should know what is allowed on the NHS and what isn't. Also I had a sleeve and I know that can be revised to bypass but not at all sure what the options are for a revision of bypass. But someone more knowledgeable will be along soon. I'm so sorry that having stuck to the rules and lost so much weight your medical condition has contributed to a regain. This is every bariatric surgery patient's worst nightmare. I hope you can get back in control.

That’s awesome. I have been very pleased with my revision to SADI. My surgeon didn’t mention the intestine length thing but he did have me do the barium swallow, an endoscopy and a gastric emptying study before saying that the SADI would be an option as well as the bypass and it was up to me which I wanted to do. There are pros and cons to the SADI revision. statistically (which by definition means there are outliers that are more or less) but the majority of people lose faster and the loss is more durable which got my attention but the possibility of bathroom issues is significant (fortunately I didn’t have this at all until I recently started chemo but I don’t think it has anything to do with the surgery). One con though of SADI is that many doctors have never heard of it. From my family Dr, to the urgent care, ER physicians, gyno, radiologies, breast surgeon, etc. Even the gastro dr who will be doing an endoscopy and colonoscopy on me Monday has never heard of the SADI but my bariatric doctor said he will explain my anatomy to her and it will be fine. I always tell them it’s a modified version of the Duodenal Switch with one anastomosis instead of two and if they still look confused I tell them it’s not exactly but kinda like a bypass and a sleeve combined. But obviously I need the person putting a camera in there to understand better than that. I think you will be very pleased with your results from either one but another thing to consider is if you have a complication or need revision to the SADI how many doctors are able to operate on you. My surgeon told me that if I had a complication he would stabilize me but he would send me to a nearby hospital if I needed any type of revision. I appreciated that he was willing to admit his limits and I was okay with that but I guess it is a risk you may want to ask about. Your surgeon may very well have done lots of these but mine had not. Also, not a lot of doctors will do a revision to the SADI just because of regain. You would be more likely to find someone to revise a bypass. Not that we are hoping to need a third surgery but obesity is complex and a lifelong struggle so it’s something to think about. I wish you the best of luck. And hope to hear about your surgery date soon.

It sounds like you’ve been through quite a journey, and it's commendable that you're taking such an active role in your health now. The feelings of frustration and sadness you experienced after your sleeve surgery are completely valid, especially considering how much effort you put into your lifestyle changes. Many people feel that the sleeve doesn't provide the same metabolic impact as other surgeries, which can lead to feelings of disappointment when expected results don't materialize. Your decision to pursue the SADI is a brave step, and it’s great to hear that you’re feeling more supported this time around. Finding healthier foods that you enjoy and integrating exercise into your routine are essential for long-term success. It’s understandable to have fears about regain, but it’s important to focus on the progress you’re making towards a healthier lifestyle rather than fixating solely on numbers on a scale. Setting realistic goals is crucial. It’s okay not to hit your ideal weight as long as you’re feeling healthier and more energetic. Remember that every step you take towards better health counts, and it's wonderful that you’re prioritizing your well-being over just weight loss. Celebrate the positive changes, no matter how small, and lean on your support network—they can be a powerful motivator! You're doing an amazing job, and your journey is inspiring to others. Keep pushing forward, and remind yourself that it's all about the journey to a healthier you! Thank you for sharing!

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

I put mine as the weight on the day I went to my first surgical consult, which was also my highest recorded weight. With the diet and lifestyle changes I made as part of the program, I lost about 13 lbs in the 6 months between then and the start of my pre-op diet. I lost another 13 lbs in those 2 weeks of liquid diet before surgery. But I want credit for all the weight I lost! Interestingly, Dr. Weiner recently said on a podcast that the weight lost on a pre-op diet definitely is credited to the surgery in his opinion. The reasoning was that if you go on a liquid diet, lose 13 lbs, and then try to keep that weight off without having surgery just by eating right, you are going to regain most or all of it in a matter of weeks. The fact that we lose that weight and then keep losing more weight instead of gaining is thanks to the metabolic changes of the surgery. He also told me in a live Q&A support group a while back to use my weight from before the pre-op diet as my starting weight if I wanted to plug it into a prediction calculator. I raised the concern of being a bit behind the prediction based on one of those calculators and he asked me what my weight was before the liquid diet. When we used that number instead of my surgery day weight, it tracked much better (and is still looking very accurate at 9 months out). He said if I had always been 225 lbs (my day of surgery weight) that would be one thing, but in reality, my "true" weight was somewhere between 238 and 251 in terms of what my metabolism was trying to overcome with the surgery. I feel like that's one of those big questions a lot of us have in the beginning and nobody really gives an answer on the calculator sites.

Thank you!!! I guess I'll just ride it out and see where it takes me. I honestly didn't think about the regain later on, so maybe it's not a bad thing if I go 10 or even 12 pounds below my goal weight. Thanks for the advice and suggestions!!! Much appreciated

Okay, so I had reached a BMI of 40 when I got the referral to the surgical team. But with 6 months of nutrition counseling and the 2 week liquid diet, the day of surgery I had a BMI of 36.3. I chose the bypass and I am very happy with it. My weight loss has not been the dramatic numbers you see with larger patients, but it's been stunning to me. I am almost a year out and am currently within 9 pounds of a normal BMI. I have not been this weight in 30 years and I firmly believe no amount of diet and exercise alone would have gotten me here. I would do it again in a heartbeat and wish I had done it earlier. With regards to the bypass itself, I am very pleased with it. I chose it over the sleeve because of GERD concerns and because my brother, who had the sleeve 15 years ago, has had a lot of regain that I think the bypass will help me avoid to some degree. I had some issues with vomiting for the first several months when I didn't eat very slowly or had something that was not the "right" texture for my picky insides. But other than that, I've been great. At this point, I can eat about a third to a half of a typical portion of most meals so I don't feel like I get funny looks or anything from people who don't know my situation. I do not experience dumping, which is sad because it means I can eat sweets if I want them without getting sick. And yes, I do want them, so managing cravings is my biggest challenge. I no longer care much for bread or pasta and I also don't eat rice. I do like a few roasted potatoes sometimes and I will steal a couple fries from someone else's plate but I won't order them for myself. I mostly prefer protein, veg, and fruit. And, yeah, sweets... My labs have all looked good so far (have to go get blood drawn next week ahead of my 1-year follow up). I feel fantastic. My one concern had been not being able to take ibuprofen because I was taking it a few times a week for pain. Well, within weeks of the surgery, even when my weight was still fairly high, my pain went away. I have had one time in the past year when I had a headache and wished I could take ibuprofen (and actually, I could have if I had really needed to because a single ibuprofen, or even one a week, is not a high enough risk to worry about).

Congratulations on making your decision to take your life back. Only those who are obese truely understand how limiting and challenging it is as well as its impact on you psychologically and emotionally. There are a number of reasons why people undergo a revision from sleeve to bypass: they develop GERD, weight regain, don’t lose as much as they hoped. Don’t know the rate of this occurring. Doesn’t mean this will happen to yiu.I know people who have had a revision on this forum and people who haven’t. Personally I have three friends with a sleeve all between 4 & almost 7 years out and no revisions. I ‘m 5.5 yrs out with my sleeve and am happy with it & my younger brother just had one done. But we’re all different & the surgeries work in different ways to different people. Sometimes surgeons will recommend bypass over sleeve because of the weight their patient has to lose, weight loss and gain history, pre-existing conditions (like GERD, etc.), etc. Are you able to ask why the surgeon/clinic is encouraging you down the path of a sleeve rather than bypass as this is less common (more common to recommend bypass over sleeve). My cyclical side wonders if it’s because a sleeve is a less complicated surgery, takes less time to perform and sometimes doesn’t require an overnight hospital stay. So do they want you to have a sleeve because it’s less demanding on their services. Ultimately it should be your decision as to which surgery you get. Have a look at some of the you tube videos by Dr Matthew Weiner (pound of cure) & Dr John Pilcher. They cover many topics so you’ll need to work through quite a list (great resources for you post surgery) & will have some on the differences and benefits of the different surgeries. All the best.

as I've said before, just remember that most of us do have a 10-20 lb bounce back regain during year 3. Not only that, but even before that, your fat distribution starts to change and shift around and you start looking better, even if you don't gain any weight. I, too, got too thin - but I sure as heck am not thin anymore! I gained back more like 30 lbs. I really did need to gain a good 15 lbs or so, but not 30! (I still look OK, but I'd love to lose those unwanted 15 lbs. Which isn't easy when you're at or near normal BMI...) I felt very weak when I was at my lightest as well - but I no longer did after that rebound weight started piling on..

I would have focused more on my therapy sessions. I would have taken it all more seriously. My approach to the whole thing was "yeah yeah, I'll just go along and do what you shrink-folks tell me, let's just get this over with as quickly as possible, just sign me your 'ok' so that I can move on to surgery". At the moment I'm not very much inspired to go into more details and write some more... currently struggling with a serious weight re-gain (almost 20 kilos regain) ... and I don't know... some (almost) 3 years after my surgery, still struggling, just like before the surgery.

Congratulations on your loss. I was a savory girl Lee bariatric world and post sleeve I became a sweet girl too. Then post SAFI that went away but has started to come back. I think MAYBE it’s just our bodies wanting carbs and sweet food is usually the absolute highest in carbs so the quickest way to get them. I did not have the bypass but I don’t think your friend is correct about eating whatever you want. I know that was for sure not true for the me with the sleeve. I started at 235, lost down to 168 then gained it all back plus some to 258 and was still gaining when I started the preop diet for my revision. I have also heard plenty of regain stories on here about the bypass. Now, does it malabsorb some of your food, absolutely. So if you were like 900 pounds before it’s possible you would stay a bit smaller just because you pretty much already ate all you wanted volume and calories wise before and the malabsorption would in theory make you weight a bit less if you ate the same exact food, but it would only be a bit less anyways and who of us wants that. . As far as a more common starting weight I really don’t think so because even at our high weights we still weren’t eating absolutely all we would have liked to or we could have and if we ate any and everything we wanted, even with some calories not absorbing that’s still probably giving our bodies more than we were eating before. I do know from experience that what fuel I put into my body changed how I feel, though, so even if I could get away with eating anything I wanted cosmetically, I know that I wouldn’t feel as good as I do when I eat a balanced diet and keep up my activity. That processed junk that most of us used to eat all the time is not good for us and it doesn’t give your bodies what it needs to run efficiently. Another thing to keep in mind is that we are still pretty early out to be relaxing too much. Most people have a 10–15 pound bounce back even if they keep working at it. I don’t know about you but I’ve still got more that I want to lost. I definitely don’t want to be bouncing back!! for the sweet cravings try the sugar free popsicles again. They can trick my brain sometimes and others i Have fruit. I figure calorie wise they may be more calories but at least it’s not added sugar. I try to avoid that as much as possible because that makes me have more cravings the next day and for like a week.