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What causes weight gain after sleeve surgery? The exact same things that cause it before surgery. Too much food and no exercise. The surgery is only gonna give you a helpful tool to limit you intake. The rest is up to you. You have to change all your eating habits and get you bod moving. Yeah, yeah, yeah.....I know....you dieted and exercised before. Really, you gonna stick with that story. The surgery is your chance to get it right. Eating small portions require you eat the correct nutritional food or you will become weak and tired. Eat too much and it will hurt. As you adjust to the new eating guidelines and begin losing weight, you'll gain the energy to exercise and workout and do all the things you've been missing. Then over time, these new guidelines will develop into new lifestyle habits which will stay with you when you reach your goals. So in the end........you won't overeat the wrong foods and sit around on your ass doing nothing and gaining weight. -

Have you all ever head of SAD Disorder ? My father has it. It is one of the major reasons that we all moved to Arizona from Illinois. http://www.sada.org.uk/ Seasonal Affective Disorder What is Seasonal Affective Disorder? Some people suffer from symptoms of depression during the winter months, with symptoms subsiding during the spring and summer months. This may be a sign of Seasonal Affective Disorder (SAD). SAD is a mood disorder associated with depression episodes and related to seasonal variations of light. fact sheet index SAD was first noted before 1845, but was not officially named until the early 1980’s. As sunlight has affected the seasonal activities of animals (i.e., reproductive cycles and hibernation), SAD may be an effect of this seasonal light variation in humans. As seasons change, there is a shift in our “biological internal clocks” or circadian rhythm, due partly to these changes in sunlight patterns. This can cause our biological clocks to be out of “step” with our daily schedules. The most difficult months for SAD sufferers are January and February, and younger persons and women are at higher risk. Symptoms Include: regularly occurring symptoms of depression (excessive eating and sleeping, weight gain) during the fall or winter months. full remission from depression occur in the spring and summer months. symptoms have occurred in the past two years, with no nonseasonal depression episodes. seasonal episodes substantially outnumber nonseasonal depression episodes. a craving for sugary and/or starchy foods. Possible Cause of this Disorder Melatonin, a sleep-related hormone secreted by the pineal gland in the brain, has been linked to SAD. This hormone, which may cause symptoms of depression, is produced at increased levels in the dark. Therefore, when the days are shorter and darker the production of this hormone increases. Treatments Phototherapy or bright light therapy has been shown to suppress the brain’s secretion of melatonin. Although, there have been no research findings to definitely link this therapy with an antidepressant effect, many people respond to this treatment. The device most often used today is a bank of white fluorescent lights on a metal reflector and shield with a plastic screen. For mild symptoms, spending time outdoors during the day or arranging homes and workplaces to receive more sunlight may be helpful. One study found that an hour’s walk in winter sunlight was as effective as two and a half hours under bright artificial light. If phototherapy doesn’t work, an antidepressant drug may prove effective in reducing or eliminating SAD symptoms, but there may be unwanted side effects to consider. Discuss your symptoms thoroughly with your family doctor and/or mental health professional.

I was banded July 21 as well. The weight gain is from the fluids pumped into you during surgery and recovery. They will come off. As for not losing during the first 5 weeks, it was explained to me that because there is limited restriction some people go back to eating normally and that puts back on the lbs until the first fill. As for me, if I could just get over the gas pains I would be fine!

Hi Jennifer, (Cherry Kamikaze...Ha! I love it) Read my posts called "Dr. Aceves Patients...HELP". I have the same doubts and nervousness and a very vocal family as well. I have a BMI of 50 and I'm going to Mexico next week! No family support. No one coming with me. I think if you have a good 100 lbs or more to lose, excess skin is inevitable whether you lose weight with surgery or own your own. It may not be pretty, but your insides will be healthier. Also, some insurance companies are now covering pannectomies where the remove the pannus, which is the lower saggy stomach area that hangs down like an apron. Check the statistics. Weight gain after a sleeve is much less likely than weight gain after a diet and exercise, which has like a 95% FAILURE rate. My family also had me believing that I don't try hard enough. They said I just need to do "Mind over Matter" and try harder to diet and exercise. (And my mom is nodding her head in agreement meanwhile she is the DIABETIC buying BIG TEXAS CINNAMON BUNS in BULK at Sam's Club!!!!! and she has a CANDY DRAWER! HELLO!!!!) I think, if you (like myself) have tried diets, exercising, time and time again, only to regain the weight...it's time for a more permanent solution. Obviously the diets aren't working. I did one last serious attempt at it and I just couldn't make it work. I think I have the stomach the size of a 7 foot tall Olympian. Have you tried at least 5 of the following: gym memberships, walking, work out dvd's, Weight Watchers, Jenny Craig, Dr. supervised diets, Phentermine, Alli, Slim Fast, Atkins, on and on? If you answer YES, then IMO, time for surgery.

After talking with my doctor I opted not to get the depo. She said the average weight gain is 5lbs a year and she said she didn't want to set me back. I ended up with the lowest dose of hormone pill available.

In general, they are looking at whether there is a psychological component to your weight gain over the years. They are more about trying to treat any conditions that might interfere with your weight loss after surgery. So just answer their questions honestly.

It spread to my neck. They started me on a steroid pack today - I don't feel like I am banded at all - I am starving - and eating like crazy. I feel very little restriction. I am super swollen - I hope that is what the weight gain is. I had gained 7 lbs when I went to the dr. today. I am trying to eat healthy. Okay - so the brownies weren't healthy - but they were low fat The steroids make me feel like I am running out of my skin. I feel like a humming bird. A huge freaking spotted humming bird. :-) The steroids are helping. I take 6 doses today. Everytime I take a dose - the bumps go away for a couple of hours. Hopefully it will get rid of them totally soon. Funny - at the Dr.s office - little kids were pointing and talking about me - and I knew it wasn't because I was fat! I guess you had to be there - in the elevator - I got in and everyone moved to the other side :-) too funny. I almost wish I was contagious!

I'm 2 years out and initially lost over 110 lbs. I more than passed the expectation of my surgery team. Over the past six months I have gained back more than 15 lbs. My surgeon is okay with my weight gain because I'm still within my expected range, but I am not. He also said that they do expect some weight gain about 2 years out as your body adjusts to its new size. What I also learned from my team is that you need far less calories post surgery than a normal person. Because you have essentially flushed your system out, your heart, lungs, muscles need much less energy just to work normally. They compareded it to a car needing less fuel after a tune up. So translate fuel or energy to calories. Much less calories are now needed and that as time goes on and my body continues to adjust, I may continue to drop in the amount of calories I can tolerate. So it appears that I need to limit my daily caloric intake to approx. 1500 calories to simply not gain. Even though I'm active, running, walk, kayak, ski etc on a regular basis. Doesn't seem to matter. In fact it was suggested that I might not be able to tolerate 1500, that as time goes on I may need to reduce my caloric intake even more. I still find I need 5 smaller meals a day. Do the math, that means 250-300 calories a meal. I know I've been eating more than that. So I struggling with accepting that if I want to keep the weight off, I need to live on a highly restricted calorie diet, which basically severely limits my intake of sugar, alcohol, carbohydrates, meat and fats. I lost the weight on low fat cottage cheese, greek yogurt, salads with vinegar or yogurt dressing, fish, Beans and low-fat cheese as my primary nurishment. I am realizing that I need to follow that diet for life and it is challenging, particularly when it comes to social events and dining out. I am praying for fortitude and solice to accept this as a permanent lifestyle change and would greatly appreciate hearing your stories and knowing that I am not alone.

My surgeon is shooting for next month provided we get all the testing results back soon. I'm so excited but scared. I keep thinking its not gonna happen because I want and need it so bad. The cardio is the only thing I have doubts about tho. Over the last couple months a couple times a day I find myself gasping for air. It ably last two seconds. I have also gained an additional 20 lbs in the last two months and have been major stressed because I lost my job (also two months ago). I think it's from my weight, high Bp, etc. I was told about 10 yrs ago to stop taking diet pills because of something with my heart.... Forgot because it was soooo long ago. But I remember it was something minor. Most docs are against diet pills tho. I think if something was wrong with my heart I'd know it. I feel fine besides the weight gain, back pain, and headaches from high Bp lol.

Hi everyone - just wondering if anyone else experiences this? I think this is really the first time I've actually gained weight during my period. I generally always experience a loss before hand (which happened this time...over 3 lost pounds in the 3 days before), but I usually don't gain and this morning the scale said I was almost 2 pounds up from my lowest before my period 3 days ago. Im trying not to get stressed out but its a little upsetting...I've been doing my regular workout (cross training or 55 minutes on the elliptical and walking) and have been sticking to 950 calories or less. Any reassurance or advice is greatly appreciated!

Hi Valerie, I did not have community support either the first time around. Finding this group on Facebook first really helped. The forum is really helpful because sometimes I just need to get the words out. I read other posts and share my experiences now, because it looks easy from the outside. I started physical therapy and water aerobics because I am de-conditioned from the weight gain. I had spinal surgery a year after my first surgery and the weight gain left me in a lot of pain. I am getting better slowly.

I had revision from VSG to Bypass October 2020 due to severe gastritis, esophagitis and Reflux. I'd been on PPI medication for GERD since well before my sleeve surgery, but it only got worse after. Drugs no longer had any impact and I couldn't sleep unless I was in a recliner. I saw my surgeon in August of 2020, had all the testing done to verify the diagnosis and my insurance approved within a month. I have Aetna insurance, but when the surgery is "medically necessary", it moves pretty quick. I was "overweight", but not obese at the time of the bypass, so weight gain was not a factor in the insurance approval. But I don't think it would have changed the medical necessity of the surgery. Good news - the surgery was a success, acid reflux is gone, I now sleep in a bed and I've lost almost 60 pounds since surgery. Recovery was rough - I'm a "dumper", so I still have to be careful what I eat, but I am so very happy that I made the decision to have the revision. Good luck with your surgery!

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.

I'm just curious what people have gained or what other doctors are recommending for weight gain during pregnancy?

You guys are so silly !!! Okay so, Sleeve of Steel .... I am new to these boards and wanted to ask you a couple of questions regarding some previous post I have read ... How can I contact you ? I don't know how to do it through here .... ???? Stop laughing people !!! I am not very forum savvy !! I posted another tread earlier today regarding my week 4 weight gain after moving to regular food .... Was hoping you'd read it and supply some feedback on your experience ... Thanks for showing up !! Kiss kiss ????☺hahahha these guys are clowns !

I was on Yasmin for several years and it was great. Never had weight gain or any major side effects, other than mood swings at first.

I went natural 3 years ago, I just wash, twist and keep going. I feel so much better, no having to worry about my hair sweating out during my workout sessions. I have been banded since May 7, 2012 and have since lost 36 pounds without a fill. I am thinking that this is slow weight loss, but my doctors tells me that I am doing pretty good to not have had a fill yet. There are weeks that I get frustrated due to water weight gain and muscle gain. Just trying to stay encouraged.

I am getting close to my goal for my 1 year anniversary and I am eating enough Protein but my biggest issues are my Water intake and consistently exercising. I am making excuses everyday and haven't been in the gym or working out in over 3 weeks. No weight gained, but no weight lost either.

Someone else posted this on earlier posting so if you would like u can go to KP.org/misg to bariatrics after surgery and they posted their eating schedule. Eating Plan after Bariatric Surgery These diet instructions are simply guidelines. Please keep in mind that early on some patients will not be able to eat the recommended amounts of food and supplements. A simple rule of thumb is to not eat more than the recommended amounts. If you get full before then, just stop eating. Also, if you have trouble with foods in a particular stage, you can always return to the previous stage. Stage 1 - Clear Liquid (Days 0-3): This will be your first stage after surgery. Hydration is very important. This stage consists of clear, sugar-free, and caffeine-free fluids. During this stage your goal is to drink at least 4-6 ounces of Fluid each hour. A clear liquid Protein, such as Isopure, will be used in this stage. Aim to drink 60-75g of protein in a day. Stage 2 - Full Liquid (Days 4-14): The full liquid phase will use a higher protein meal plan. During this stage you can move from clear Liquid Protein, to Protein shakes such as New Directions, EAS, Premier, etc. Continue to take your protein supplements throughout the day to make sure your body meets its protein needs. Stage 3 - Soft Foods (Days 15-30): During this stage you can start adding soft foods into your diet. The goal is to slowly advance your diet, so you can gradually start eating solid foods. Stage 3 alone will still not supply you with the protein your body needs, therefore you will continue to drink your protein supplements. Stage 4 - Gradually Advancing to Solid Foods (Day 30 and Beyond): Stage 4 includes all of the foods in Stages 1, 2, and 3, plus a wider variety of food options. Additional documents Eating Plan After Bariatric Surgery [PDF] Sample Menus - Stage 3 [PDF] Sample Menus - Stage 4 [PDF] Shopping List - Stage 1 & 2 [PDF] Shopping List - Stage 3 [PDF] Shopping List - Stage 4 [PDF] [/url] Vitamin and Mineral Supplements Sleeve Gastrectomy [PDF] [PDF] Labs Bariatric Post-Operative Laboratory Guidelines [PDF] Pregnancy after Bariatric Surgery Follow these basic guidelines for pregnancy after bariatric surgery. BEFORE you become pregnant: Wait at least 18 months after surgery to become pregnant to ensure healthy fetal development. Birth control pills may not be as effective after surgery. You may want to consider an additional contraceptive method. Inform your OB/GYN doctor about your weight loss surgery. Take an additional 400 mcg folate per day. Take an additional Iron supplement with at least 18 mg iron. Ferrous fumarate may be better tolerated. Baseline labs are needed to determine your nutritional status and to identify any deficiencies. Your care DURING your pregnancy: Tell everyone involved in your care that you had bariatric surgery. Do not take the glucose tolerance test (GTT), a test for gestational diabetes. The test involves drinking 50 grams of glucose, which can lead to dumping syndrome in patients who have had gastric bypass. Better tests are fasting glucose level or 2 hour post prandial (after a meal) glucose level. Your diet DURING your pregnancy: Add 300-500 calories to your recommended 1000-1200 calorie plan by adding 1-2 high protein Snacks during pregnancy (during breastfeeding increase to 2-3 high protein snacks). Continue to eat protein-based meals and snacks. Continue to take your Vitamins and minerals as recommended. Take an additional 400 mcg folate and at least 18 mg iron per day. Limit artificial sweeteners including aspartame (NutraSweet®) and sucralose (Splenda®) and avoid saccharin (Sweet'N Low®) and stevia (Truvia®). ** Caution with Vitamin A: Pregnant women should not exceed 6,000 IU per day. Weight gain DURING pregnancy: If your BMI is greater than 29, aim for a maximum of 15 pounds weight gain. If your BMI is between 25 and 29, then 15 to 25 pound weight gain is appropriate. After bariatric surgery, weight gain standards are different. Discuss your weight gain with your doctor.

So I've been starving all this time drinking nothing but Water and clear chicken broth I'm still in a lot of pain, I just checked my weight and it says I gained four pounds! Ughhhh Sent from my iPhone using the BariatricPal App

Great idea! My list is... 1. Mobility-my knees, I couldn't do crap because it killed my knees. This is already nearly resolved and I am just 2 weeks out heh. 2. Health-been crazy healthy my whole life til 2 years ago. Had something else go awry in my body and had transfusions.... within 2 months I was diabetic, an MS diagnosis, high blood pressure, a huge weight gain, and such severe exhaustion and fatigue that I could barely make it to the bathroom, much less do anything or go anywhere. And I NEVER wanna be that way again so here I am post op already off Metformin and bp meds as I no longer have those conditions... and I can walk around my neighborhood! 3. Family-I love them so much, I wanna keep being involved with them for a long time 4. Longevity-Again, I love my hubby and kids and grandkids sooooo much, I wanna be around to enjoy them a good while longer! 5. Looks-bonus! But I dont think I would have had bariatric surgery over primarily looks, its just the icing on the cake to be better looking lol 6. Romance- doesn't matter, I have the best, kindest, most awesome hubby I could ever hope for already! He's amazing and makes my heart flutter and my world go round!

I had it done several years ago and preop. I never noticed any weight gain over that. I did notice no more periods and no more blood transfusions. That was a good surgery also. Sent from my iPhone using the BariatricPal App

Dumping syndrome does not prevent sugars from being absorbed/weight gain. It's a physical response that causes cramping but it doesn't stop absorption entirely. Supposedly, if you don't drink or eat too quickly while eating things with sugar you are less likely to dump because the food shouldn't be forced into the intestines too quickly. However, with the pyloric valve missing I am not sure it would be possible to manage dumping syndrome effectively.

whey protein, cream-based soup, anything with flour in it, the majority of meat, including ground beef, fish, meatballs, sometimes chicken, sometimes steak. i haven't tried anything on my "no" list or my "you should probably be able to eat this now" list, because my stomach is so sensitive. i get very very hot/flushed and nauseous and a little dizzy and sometimes vomit. melted cheese (like in french onion soup) also gets a "stuck" feeling. i didn't know sleeve patients get dumping? TIL. my friend with sleeve can eat anything without consequence (except rebound weight gain, of course).

I had my surgery yesterday and am up 5 pounds today -- am assuming this is pretty normal and probably the body's way of reacting to "trauma" and IV fluids, meds, etc? I know it can't be from overeating ha ha. I didn't get upset when I saw the scale, for maybe the first time in my life, but I just wanted feedback. Was this anyone else's experience? Thanks everyone!