Search the Community

My Dr. warned me also of the possible weight gain. I did not have 2b on a pre-op diet but I lost 12lbs 1st week. I knew that once I started incorporating food again some weight wld come back on. I decided not to weigh myself at home until my next appt on Aug 31st which is when I get my 1st fill. I have also read on here that it can take 3 or 4 fills b4 feeling good restriction. Dont get dissapointed. The weight will eventually start to come off. From the time the swelling goes down after surgery to your 1st fill is considered "bandster hell" cuz you have no restrictions, you get hungry & you dont lose any weight or gain a bit. Make wise healthy food choices and exercise, drink your 64oz of Water & drink your Protein drinks. I try to stay within 800-1000 calories a day. Good luck & be patient. Take this time to learn new eating habits & enjoy the journey 1 day at at time.:cursing:

I would say don't worry about the calories you are doing great, you will see, stay the path! Wouldn't worry about starvation mode, if you go back and look up IF and that subject area, you will see body really doesn't go into starvation mode until 2-3 days... They say that was kind of a myth to go into it so soon, and you are EATING. In reality starving is getting NOTHING with calories, lol... Go 2 weeks as you are and see the weight fall off... I have been doing IF for 5 weeks and weight is falling off, down 15 of the 25 pounds I trying to lose that weight gained back after 3 years post sleeve... Great thing about IF is that you eat whatever you want and as you said you really won't eat much but all cravens for whatever you want are met, even if you only get a few bites of it... It sure beat 10 small meals a day and all other diets, which this really isnt! Loving that I don't snack all day because I'm just drinking coffee and water and know one knows what I'm doing, lol.. Just my 2 cents...[emoji16] Sent from my SM-N950U using BariatricPal mobile app

If you struggle with obesity, you probably already face or are worried about getting a variety of health conditions, such as heart disease, high blood pressure, arthritis, and asthma. Type 2 diabetes is another obesity-related condition that can affect you and lead to scary complications if you’re unable to control your blood sugar. You can use diabetes medications to help control your blood sugar levels, but often, weight loss surgery and the right diet can be even better. Reminder: the Importance of Diabetes If you don’t have diabetes, someone in your family might if obesity runs in your family. You may remember a parent, aunt or uncle, or grandparent who had diabetes and suffered from complications. 29 million Americans, or 9.3 percent of the population, have diabetes, or high blood sugar, and most cases are linked to obesity. Type 2 diabetes is the seventh-leading cause of death in the U.S., but it gets worse. It’s a risk factor for heart disease and high blood pressure, stroke, and high cholesterol. Uncontrolled blood sugar can lead to kidney failure, blindness, infections, and amputations. In total, the U.S. spends about $245 billion per year on diabetes. Medications for Diabetes Diabetes medications can help keep your blood sugar in check in various ways. The following are some common types of diabetes medications. Increase insulin sensitivity. Reduce the amount of sugar your liver releases to the bloodstream. Increase insulin production. Prevent the kidney from reabsorbing sugars. Slow down metabolism of sugars and starches. Diabetes medications help, but each type has drawbacks. They can cause weight gain, increase your risk of infections, harm your heart, and lead to nausea and vomiting. Unless you’re on a good health plan, these medications can also be expensive. The Effects of Weight Loss Surgery on Diabetes When considering weight loss surgery, you probably think about the number on the scale, how nice it will be to shop at regular clothes stores, having more energy, and improving your heart health. It turns out that weight loss surgery has a big effect on diabetes, too. People who get weight loss surgery often see their blood sugar levels drop and are able to decrease their medication doses or get off of medications entirely. You’d expect to have improvements in diabetes if you lose a lot of weight after weight loss surgery. After all, your diabetes was probably caused by obesity. Whether or not you get surgery, you’re likely to have better control over your blood sugar levels if you lose a lot of weight. However, it turns out that weight loss surgery has a bigger impact on diabetes than what you’d expect just from losing weight alone. In some studies, patients have had their blood sugars lowered as soon as a few days after surgery! In just a few days, you can’t lose enough weight to explain the drop is blood sugar. There must be another explanation. As it turns out, researchers do have a lot of theories about what causes the health improvements so quickly. It may have something to do with the way your body processes carbohydrates. There could be increases in insulin sensitivity. Multiple hormones are probably involved. Researchers don’t know all of the reasons for sure, but these results are pretty consistent. The gastric bypass is most likely best at resolving diabetes quickly, following be the vertical sleeve gastrectomy. The lap-band isn’t as effective, but lap-band patients do tend to see at least some improvements. Each type of weight loss surgery has its own advantages and disadvantages, so be sure to ask your surgeon for advice. The Weight Loss Surgery Diet and Diabetes Surgery is only part of the solution to controlling diabetes or preventing pre-diabetes from developing into diabetes. If you want maximum benefits and lasting effects, you also need to take a look at your nutrition. For weeks, months, and years after weight loss surgery, your diet will largely determine your weight loss and blood sugar levels. Fortunately, the weight loss surgery diet is also a diet that can lower your blood sugar levels. First, stick to your low-calorie diet. If you’re not counting calories, serve yourself only the portions and types of foods that your surgeon allows. The low-calorie diet lets you lose weight and as you do, you’ll find that your blood sugar is in a healthier range. Next, there’s the protein content. You already know that you need to focus on protein on your weight loss surgery diet. It keeps you full to help you lose weight, and prevents symptoms of protein deficiency. Another benefit is that it doesn’t spike your blood sugar and insulin levels like carbohydrates do. When you eat fewer carbs and more protein, your blood sugar levels will be more stable. There are a few other ways you can plan your weight loss surgery diet to also be healthy for your blood sugar. Better yet, these tips will also make your diet higher in nutrients. Instead of refined grains, select whole grains, such as oatmeal and whole wheat bread and pasta, whenever possible. Eat plenty of vegetables, since they’re filling, low-calorie, and unlikely to spike your blood sugar. Choose unsaturated fats, such as olive oil, instead of saturated fats, such as butter, to promote heart health and better control your blood sugar. Eat high-fiber foods, such as whole grains, vegetables, beans, and fruit, to feel less hungry and to prevent blood sugar spikes. Type 2 diabetes can be an inconvenient disease to manage, and it can cause all kinds of devastating complications. If you have diabetes or prediabetes and are thinking about weight loss surgery, it’s important to know the facts. Weight loss surgery can help resolve your diabetes and get you off medication, but it’s not likely to be too effective without a good diet, too. Just like with weight loss, weight loss surgery is a tool for diabetes management, and you need to follow a healthy nutrition plan to get the maximum results.

Ok I know I didn't blog last week. First off I gained 2 pounds last week but then I lost 2 pounds this week so it is a wash for the last two weeks. Let's talk about week 33 really quick. On Sunday the family and I were coming back from a reunion at my in-laws and I blew a tired on the freeway on the way back. Scary I know. Well in changing the tire I injured my back and hamstrings. As a precaution to keep from hurting myself any further I did not walk for the week. Thus the two pound weight gain. My injuries did heal thank the lord. Now for this week I walked on Monday. It felt great. Then Monday afternoon we had a meeting at work which was to inform us that we as employees needed to make a choice. We could either be laid off and go on unemployment or we could take an hours cut and only work 16 hours a week. Well for me that meant dire financial consequences as it would anyone and so my wife and I had to discuss what to do. As a result my stress level has been on high all week. I have hardly slept through the week. Today will be my last day at work but yesterday we learned at my work place that a client may be needing major work done which would bring everyone back to full time and keep us there for several months. So there is a glimmer of hope that the layoff will be short lived. My diet and exercise has not been the for thought in my life this week. So I can only attribute the weight loss this week to stress. However I am getting back on track and will continue to work on it. It feels so much better to to have lost what I have but I still have plenty more to go. I also will be back on track with blogging weekly and hope you all continue to check in on my blog each week! Weight loss totals for the last two weeks... Week 33 This week 2 pounds gained Current Weight - 357 lbs Loss Since Surgery - 85 lbs (33 weeks) Total Weight Loss - 128 lbs Week 34 This week 2 pounds lost Current Weight - 355 lbs Loss Since Surgery - 87 lbs (34 weeks) Total Weight Loss - 130 lbs

Hi everyone, I've been reading for a while but never posted. I am currently 3 appointments away from completing all my pre-surgery requirements. My Dr. says I need to drop 14lbs before surgery. I was wondering if any of you have had their thyroid removed? I had mine taken out about 7 years ago and my weight gain just escalated from there. My concern was the 14lbs but so far I'm doing great. I don't have a surgery date yet and have started seriously cutting back. No sodas, very minimal carbs, Protein drinks during the day and a very light high Protein meal for dinner. I've lost 8lbs in 6 days. I worry about how I'll do after surgery and if anyone has heard how those with no thyroid do after surgery. Its typically extremely hard for me to lose even a few pounds. Thanks for any feedback and good luck to everyone.

Well i got approved with some extra documentation. i ducked out of here because i had gone on the 2 shake diet, lost 14 lbs and then they told me I was going to have to do weight watchers for 6 months. So I compleatly wigged out because the surgery planner told me to just maintain that weight for six months. They said if; lost too much more, i wouldn't be covered. I have to be over 40 Bmi even with all my medical problems. I have never been a weight I needed to maintain...so no surprise, I now have 10 lbs to Lose again. Once my doc faxed over the proof of weigh once a month at his office, they approved it. Sooooo my pre-op class is Friday at 8 am. They are calling me back to schedule a surgery date. It could be this month, I will have to waiting and see....but I am approved. I am mad at myself for the weight gain...now I am back to shakes starting tonight since I already ate lunch. I am feeling very nervous now. I am worried I won't lose it in time...I am going to have to be close by Friday.....how am I going to lose 10 lbs by Friday? Any suggestions? I know it is my fault for reacting in this way and I know it is my responsibility to lose this weightl but I am seriouse about this...please help it you can.

Ok i am 3 weeks post OP and am so frustrated...i lost about 16 lbs the first 2 weeks and for the last few days i was stalled ABCs this morning i was even up a couple lbs!!! I am still on liquids for a week and then puree for 2 weeks...a couple contributing factors could be lack of protein or lack of water...very hard for me to get those in...anything else that could be causing this? Any one have suggestions to jump start my weight loss again? I am kind of freaking out...why am i torturing myself for no weight loss??!

Hi All, Well as a very unhappy bander who had a sleeve surgery date (6/20) Passed nutritionist appt.. pysc evailuation, and was waiting to take the sleeve class tomorrow I received frustrating news today. First, I am self pay, I was self pay in 2008 when I had my band put in. Used the same Dr. here in VA who was to do my sleeve. The call I had today was to tell me that Blis, the co. for self pay catastrophic insurance ( part of my surgery fee now may not approve revision to the sleeve because of all the complications that can occur). My stats are below but I have kept off most all of the 85 lbs. (all but 12-15) in the 3 years I have had my band. Despite all the problems this band has given me. So my BMI is lower than someone who will be a new VSG patient. I have no major health issues, no diabeties, no history of clots, no HBP, I really am healthier than when I had the band surgery. The revisions my DR. has done from band to sleeve have all been paid by health insurance. They have not done a self pay revision. His results are good from what I can tell and he is a Blis participating DR. My question is have any of you had this issue? Scrapping up the $ again was no small feat but now to hear they may not approve it means I might have to sign away permission to pay any and all possible complication costs if he will still do the surgery. Or just have my band out and nothing further done, which scares me of further weight gain. Despite my constant gerd, esophageal spasms. and not being able to eat solid foods well, I need this restriction!

It's difficult (even with the band) to change the habits of a lifetime. I had some major MAJOR cheats and some weight gain in May while traveling for business. Once home, I started going to support groups again, made an appointment with the surgeon's office to talk with them (and have been going every couple of weeks to keep up with accountability), and cut back the cheats. You can do this..just need to get your head back in the game. Back to basics. xoxo

See my stats... 30yrs old about 9 weeks out. I increased my consumption this weekend to 4 oz at each meal per my NUTs instructions, and I ate kroger deli albacore tuna salad for lunch and dinner... stuck with one egg and a laughing cow wedge for lunch. Woke up this morning and popped up 3# from Sunday to this morning. Did you guys ever pop up like that? I had a little bit of broth from a pot roast my wife made, and I am telling myself its just Water weight from the salt content of the broth. I was on a good run too... down from 229-223 in about a week or so after being stalled at 229 for a week. Thoughts?

Great to hear and awesome no weight gain only loss. We are book on a cruise in November and i will be 4 months out. Was nervous,but now feel relieved. Sent from my SM-G955U using BariatricPal mobile app

Hi everyone, I had a slight weight gain (6lbs) between my very first visit with the clinic and surgeon ( I had my period and I was weighed at different times of the day) and I was told you can possibly be denied for that. I did call the clinic and they told me it was ok, you are allowed some fluctuation. I’m the same now. I am waiting for insurance approval at this point. Anyone have any experience with this? Thanks in advance!

I am on a pump have been for a year and have gained 50 pounds now 4 months into band process hoping to get rid of meds.I didn't know about weight gain before starting pump

Tina, Congratulations to you! It's a tough decision, and it takes courage to decide to change. Change is the most frightening thing we go through in life. Many people stay fat and unhealthy because of this fear. I was afraid that the Band, or any WLS surgery for that matter, would change everything about my life. And so far it has. But the changes have been good. I no longer fear change, I welcome it. People in our lives have no idea how to be supportive, I'm convinced of that. I'm also convinced that many of the people who seem so unsupportive think they are being just the opposite. But remember, change is a frightening for them as it is for you. They too are afraid. After all, any change in you could result in a change in your relationships. They are afraid, and their fear has no reason behind it. They forget that you will still be YOU whether you band or not. They forget that your quality will shine through. You are afraid, and it's normal. Change is scary. Everyone you talk to knows someone who's best friend's aunt, had an acquaintance whose youngest daughter had the surgery and she only lost the weight on one side then her left leg blew up like a zeppelin and they went in and found the band broken into seventeen pieces and lodged near a perfectly preserved donut in her uterus. (preceding ludicrous story for illustration purposes only). So, if that kind of thing bothers you, by all means, keep it all on the down low. It's your life, and your business. But fear not. The beauty of the band is it's safety. Low complication rate. Non invasiveness, and ease of reversibility. Of all the courses out there it is the logical choice. I had to decide. I picked this, and now I'm one month out, it was easy, fast, and nearly painless. Well, a lot less painful than my overactive imagination had drawn it for me. Diet and exercise do not work. Lose the weight, gain it back, plus a little bonus. Will power is good for the next meal, and maybe for months, but sooner or later the will power fades, and we fall into our old ways. If the will power worked there would be no fat people, no alchoholics, no addicts of any kind. The way I saw it the only way to go was to choose between a short life and a longer one. Keeping my messed up relationship with food was the short life, the band was the longer one. Follow your own star. Make your own decision based on who you are. One thing about these people here, they know how to be supportive, visit often, read the old threads. Contemplate. But move yourself to action. As Red says in "Shawshank Redemption" it's time to get busy living, or get busy dying. I suggest living with the band, you'll smile more than you do now, you'll laugh daily. Good luck, and glad to see you here.

First, congrats! A number of ladies experience increased fertility with weight loss, despite how much we hate it when our docs tell us weight is a factor or no matter how many times we've been told we have a number of female issues. Somehow, with the weight loss, the body gets back on track and it surprises a lot of ladies. As you can see from all of the surprise pregnancy posts you'll find here! I was two years out when I got pregnant but still had a very limited capacity. I could eat one scrambled egg with cheese and one turkey sausage link in a meal and feel stuffed. As my pregnancy has progressed my capacity has increased as well as my appetite, so while it's still a bit of a challenge to consume enough, I'm doing alright. My situation was complicated by nausea. If I ate any meat, I'd get sick. I'm already lactose intolerant and while it's supposed to improve during pregnancy mine got worse - to the point where putting a tiny bit of butter on toast would make me ill. My Protein shakes were totally off limits for several months, too. So I really do understand the concerns you're having. The solution is to go back to the way things were in the beginning, when you forced yourself to eat around the clock to hit a nutritional goal. It means choosing your meals carefully so that you can get a well balanced meal in a tiny portion. It also means trying your darnedest to get back on those shakes and make them stick. I have been able to drink mine again for the last few weeks and I feel MUCH better and have more energy since I was able to do that. And I really can eat more in a sitting now. Your stomach should relax as you get further along and the hormones are really increased. That helps a lot. When you say your stomach hurts are you talking about cramping and nausea? Is it hurting after dairy? I first developed lactose intolerance with my twin pregnancy and the first clue was really uncomfortable stomach cramping after anything dairy based. I would definitely bring this, and the fact that you've had WLS to your OB's attention ASAP. I am on two different prenatals, additional Calcium, B12 shots and a special Iron supplement to keep my levels up. I am only just now, five months in, getting enough nutrition that my labs come back in good shape. While it's been a particular challenge for me, try your hardest to shelve concerns about weight gain. I was so freaked out a few months ago because I had already put on seventeen pounds. But here I am, 24.5 weeks out and I'm only up 15 pounds - somewhere along the way I lost a couple of pounds. And it's all baby (okay...baby and boobs, but I'm not complaining about that part!) and I really do realize that I'm going to do just fine losing this weight afterward. The biggest concern is making sure the baby is getting enough, and you sound like you're already working to help this issue. My doc told me and I believe it - the baby will suck every bit of energy and nutrition from my body and leave me tired, nauseated and run down before it will go without. So if you're at least trying, even when it's not easy, you should do just fine. So, try the shakes again. Try to set a timer to eat small, regular, protein and calcium rich meals. Eat as much of what you're able to eat as you can, within reason, of course. Foods that are really good for protein, besides meat are lentils (lentil Soup saved me when I couldn't eat any meat a few months ago), cottage cheese, seitan (if you like it), and of course Beans always help, too. Good luck, ~Cheri

yes, I get dizzy if I miss just one dose of any SSRI, and prozac made me horribly agitated and I would guess you could call it psychotic. I have taken paxil, luvox, and most currently cymbalta and all have caused weight gain(increased appetite).

CNN REPORTS THE MOST COMPREHENSIVE PROOF THAT Gastric Bypass Lowers Risk of Death TIME MAGAZINE AUGUST 22, 2007 By Sora Song Whether one regards bariatric surgery — last-resort weight-loss operations such as gastric bypass and stomach stapling — as an essential treatment for obesity or as a failure of the fat person's will, the fact is, it works. Studies have shown that after surgery, patients often lose 50% or more of their excess weight — and keep it off — and symptoms of obesity-related conditions like diabetes, high blood pressure, high cholesterol and sleep apnea are improved or eliminated altogether. Now, two new studies in the New England Journal of Medicine (NEJM) show another long-term benefit: a lower risk of death. The larger of the two studies — the largest of its kind — led by researchers at the University of Utah School of Medicine, looked specifically at gastric bypass surgery, also known as Roux-en-Y gastric bypass, which accounts for 80% of all bariatric surgeries in the U.S. The operation involves creating a small walnut-size pouch at the top of the stomach, which is then stapled off and connected to the small intestine lower down than usual; the result is that patients can eat only an ounce of food at a time, and the food bypasses most of the stomach and the top part of the intestine, limiting the number of calories the body absorbs. In the Utah study, researchers compiled data on 15,850 severely obese people, half of whom had undergone gastric bypass surgery between 1984 and 2002, and half who were from the general population and had had no surgical intervention for obesity. Overall, researchers found, the surgery patients were 40% less likely to die from any cause during a mean 7 years of follow-up, compared with the obese controls. What's more, the mortality rate attributable to obesity-related disease was 52% lower on the whole in the surgery group: after gastric bypass, patients were 92% less likely to die from diabetes, 59% less likely to die from coronary artery disease, and 60% less likely to be killed by cancer. Results like these have got some doctors intrigued enough to start thinking about bariatric surgery as a treatment for conditions other than obesity —especially diabetes. A growing body of research suggests that the surgery may reverse the disease, a potential solution that could help some 20 million American diabetics. Though the current NEJM study did not specifically study the impact of bariatric surgery on diabetes, it did reveal a 92% reduced risk of death from the disease in surgery patients —findings that support what has been emerging in other experiments. "In more than 80% of patients who are severely obese and have diabetes and then have gastric bypass surgery, the diabetes is cured," says Ted Adams, professor of cardiovascular genetics at the University of Utah School of Medicine and lead author of the new study. "The interesting thing is that the resolution of diabetes happens within a few weeks following surgery, long before patients have lost their weight." Like some other researchers in the field, Adams believes that the surgery triggers other biological mechanisms, separate from weight loss — perhaps an interruption of a crucial biochemical pathway or a change in the release of certain hormones in the stomach or small intestine — that may have powerful effects on diabetes. "The gastric-bypass patient is really providing a source of intriguing research related to all kinds of disease treatment as well as weight gain and weight loss," says Adams. The second study, led by researchers at Gothenburg University in Sweden, involved 4,047 obese volunteers, 2,010 who underwent some form of bariatric surgery and 2,037 who received conventional obesity treatment, including lifestyle intervention, behavior modification or no treatment at all. Ten years after surgery, researchers report, the bariatric surgery patients had lost more weight and had a 24% lower risk of death than the comparison group. Though the overall number of subjects in this study is much smaller than the first, the results confirm general benefits of bariatric surgery, and gastric bypass in particular: after 10 years, bypass patients had maintained a 25% weight loss, compared to a 16% loss in patients who had stomach stapling, and 14% in those who underwent a banding procedure. In both studies, surgery patients had an overall lowered risk of death, but an interesting finding in the Utah study shows that these patients were 58% more likely to die from other causes, such as suicide and accidents. The authors speculate that as people lose weight and become more active, they also become more prone to accidents, which may up their risk of death. Surgery patients may also have pre-existing psychological problems — a history of abuse, perhaps — that can't be resolved by losing weight. "There have been some studies reporting that following bariatric surgery, some individuals may be more prone to chemical dependency, such as increased alcohol use," says Adams. "There's some speculation that certain addictive behaviors that are in place before the surgery — with food, for example — are transferred to alcohol or another addictive behavior." "Hopefully this research will stimulate additional evaluation of what the optimal approach is for evaluating candidates for this surgery," says Adams. "I think we should never lose track of the importance of individual evaluation of benefits and risks." Last year, an estimated 177,600 patients underwent bariatric surgery, a figure that's likely to grow as Americans get fatter and fatter. Though modern surgery techniques have become more sophisticated, less invasive and safer than in the past, the bariatric procedure still carries all the risks of any other operation. Patients have a .5% to 1% chance of death. The risk of gallstones goes up. Sometimes a second surgery is necessary. And all patients must be careful to make up for Vitamin and mineral deficiencies. The surgery isn't for everyone; current guidelines recommend it as a last resort, only for the morbidly obese who have a BMI of 40 and higher, or for the obese with a BMI of 35 and higher plus a serious weight-related illness like diabetes or hypertension. This should help. Gary Viscio Viscio Law and The Obesity Law Center - Welcome

I relied so heavily on this forum and others in the months leading up to my procedure that I promised myself I would provide a 12 month update, FAQ and experience summary for others planning the same thing for the same reasons. I recently posted this to Reddit and bariatricpal rounds out the plan. My story is positive – overwhelmingly positive – but I think most importantly my story is not emotional. I don’t have a psychological problem with food. I was never tormented or made to suffer for my weight (beyond finding flights uncomfortable and shirts being too short). I made this choice on statistical grounds – it would extend my life on average and go a long way to improving my diabetes. I wanted to provide a vanilla story to remind everyone this pretty survivable and the majority of people have non-descript and unexciting recoveries. My lift is pretty much the same - I just eat a lot less, dont shoot insulin and hopefully will live longer. Forums tend to have an over representation of negative outcomes - that makes perfect sense and it's absolutely fine for people to use them to get some reassurance and communicate with people in the same situation. For everyone else - just remember you're less likely to jump on a forum and tell your story if nothing went wrong or it wasn't any different from other people and as a result it can seem like a higher proportion of people are suffering than maybe is the case. I was a lower-BMI diabetic, not quite type 1 or type 2, but insulin dependent nonetheless. My BMI was 31, my surgeryweight was 126kg (277lbs) and I’m 196cm tall (6’5). I was diagnosed at 100kg (220lbs) but assumed type 1 as I wasn’t visually overweight. However in the 5 years since diagnosis I’ve continued to produce some insulin suggesting I’m not a pure type 1 or 2 - but closer to type 2. I gained 26kg in a year after diagnosis once i started on insulin. I’m broad shouldered/chesty with skinny legs - like an apple jammed on some chopsticks. Maybe like the fat Mr Incredible. My intention for having the bypass was not solely weight loss – I suspected that my diabetes was closer to type 2. I suspected the improvements people see immediately in diabetes management post bypass may apply to me. It was a gamble that paid off, My decision making process was quite straight forward – I had a young daughter at the time (now have a son too) and had lost my father to a heart attack when I was 7. He was fit and not diabetic but had a heart condition. I new statistically I was due for a similar fate carrying excess weight plus diabetes onboard. This was the best way to knock out one of those (the weight side) and hopefully improve the diabetes. I went from 126kg to 83kg (180lb), my BMI is low end of healthy. My biggest positive is my immediate cessation of insulin shots and a current HBA1c of 5.8 with oral meds only. It took about 6 months to get to my goal weight of 90kg. I'm still slowly losing and need to stop. Lead-up and Prep I was not obese to look at visually. The majority of healthcare professionals I spoke to did not think surgery, let alone Gastric Bypass, was necessary. In the end – my PCP, endo and surgeon all agreed that, while not essential, bypass was a prudent decision with potentially long-term benefits. The surgeon did not want me to bother with a gastric sleeve – if the endgame was diabetes improvement then the gold standard was a bypass. In Australia you need to be over 35 BMI or over 30 with a comorbidity to be eligible. I had slightly elevated Blood Pressure - that plus the diabetes made me eligible. I paid $2000 out of pocket, my private health insurance paid the rest. No psych required, I had a few meetings with a nutritionist and everything was greenlit. From first enquiry to surgery was four months. The fee I paid includes lifetime consults with the surgeon. I did not need a pre-op diet as i was not that overweight and my liver was not a concern. Surgery My procedure was in June 2018. My anaesthetic recovery was rough, but otherwise the process was fine. The most discomfort was immediately in the 12 hours following – in part due to surgical site pain but mostly because the bed could not accommodate my height so I was forever crossing my legs or scrunching them up, only to have a nurse slap them and wake me up for fear of DVT. Nurses kept promising to find a bed extender - eventually I lashed out in a post-anaesthetic haze at a nurse who slapped my feet - she took the end off the bed with a flourish. My feet shot out, I cried in relief, apologised profusely and slept for eight hours. Day two was stiff and sore but i was mobile, able to shower and sipping fine. I went home the morning of day three. I had PHENOMENAL life ruining headaches from day two. I went home with some serious opiates because I lived 90 minuts from my surgeon and couldn’t drive to get a script if they hit again. On day four my dietician cleared me for coffee and it immediately wiped out the headache – turns out I’d been in caffeine withdrawal. So I really recommend you taper that off in advance if you have a problem with coffee like i do. If you're diabetic then buy a freestyle libre glucose monitor for the procedure if you dont have a CGM. They want hourly blood glucoses, instead of being woken and pin pricked every hour I could just show them how to use the scanner and they'd take it while i slept. I had some minor aches 6 weeks out and one of the surgery sites oozed a little clear fluid. It subsided immediately. I was home for two weeks. I could have gone back at one week. I'm an accountant though and my starting weight was comparatively low so i was mobile quick. I completely understand if you're starting form a heavier weight then you should plan to take the full time. Food/Eating The normal progression of foods was fine and unremarkable from what is described on most forms. I graduated to solids a little earlier than I should have. I cheated like mad and was feeling fine, it was only when I snuck a tiny piece of casserole beef and vomited violently did I start to behave myself. I was vomiting once or twice a week from eating too much or too fast. Savoury ricotta bake, hearty soups and coconut water were my saviors. The vomiting subsided, 18 months out I vomit maybe once every two or three months and only when I do something stupid. My problem before surgery was eating very fast and taking large bites – that has been hard to deal with post surgery. In fact I tend to still eat large bites and then sit unable to eat for extended periods. I was very sensitive to sugar post-op and frequently had dumping. That subsided in a month with changes in eating, changes in my appetite and better food/liquid rules. I currently only get dumping in the morning, and only if I eat something sugary. I do get nauseous easily in the morning too – it’s something I’m working with my nutritionist on to find out why. Otherwise I can eat whatever I want within reason. I don’t drink soda, but had quit it before my procedure. Milky protein makes me nauseous too (any type of creamy protein really) so I use a water protein additive from costpricesupplements. This helps me hit 2L fluids daily. I can eat about a cup and a half food. Liquidy foods – stews, soups, casseroles – I can eat a lot more than that. Tougher foods like steak or dry chicken much less. I gulp liquids. I had a sensitive stomach before the surgery and took Metamucil religiously to keep my gut regular. I have not had any issues post op with flatulence but have had looser bowels. Metamucil still helps – but no worse or in any way less manageable than pre-op. Diabetes I went off insulin immediately after my surgery. It wasn’t a cure – I’m still diabetic – but metformin and trajenta keep me in an aggressively managed hba1c. I have a so-so diet – I eat too much sugary junk food and carbs. I could go without diabetic meds I believe but my diet would be depressing so ive truck a compromise. On this basis alone this was the best decision I could have made for my physical wellbeing. My blood pressure is fine, my cholesterol is non-existent and I'm able to even job a moderate distance without discomfort. Random observations • I’m cold. So cold. It’s 35 degree outside where I am (90’s Fahrenheit) but as soon as I go into any office I need a sweater. I really became dependant on sweaters, long johns and socks this last winter. Im not cooler in summer – just as hot and bothered as before. Maybe a better way to describe it is that I feel the temperature more in general, like I lost my insulation. • I am too skinny. Clothes don’t fit that great – most men this tall have a bit more chest/gut on them. Australia has limited/no tall clothing ranges domestically so I’m importing loads of stuff from the UK/USA. i still think i look fat when i look in the mirror. • My bum is bony and I need cushions to sit comfortably. I also had a cyst on a butt cheek I didn’t know about – now im so bony there I’ll need to get it removed so I can sit on kitchen chairs comfortably again. • I gained about 1.5” of penis length. It was a welcome addition. I needed to learn how to be more gentle and patient using it. With a young family and little sleep it's yet to be fully road tested – but I’ll be ready when we start to sleep again. • I have a little loose skin. nothing dramatic. mostly around the gut and love handles. • I am very sensitive to meds and drugs. I'm not much of a drinker but i like weed edibles - what would give me a mild buzz before gets me quite high now. I sober up quicker now too. I take xanax on flights to help sleep - i take a quarter of the dose now. • I drink red wine socially and now cannot really get drunk. I sober up quite fast but get a mild buzz pretty quickly too. • Dumping sucks but it should not be a discouraging factor. Its not life ruining – anyone who’s had a hypo as a diabetic it’s a bit like that with some gastro thrown in. It resolves pretty fast (30ish minutes for me) and is a self-reinforcing feedback loop for shitty food behaviours. For this reason alone I consider the bypass as the better choice for me. • I’ve lost a fair bit of muscle tone and will need to somehow up my protein and start some weight training to recover it. This needs to be balanced with not losing for further weight. • I have to remind myself to eat. Not just because of low appetite, but because once my pouch shrinks for a day then eating again can be uncomfortable and time consuming. As long as I eat fairly frequently my pouch is all good and I can eat quite a lot pretty fast – forget about it for 2 or 4 hours and I’ll need to take some time to eat a bit and get my appetite back. • I was hungry for 33 years and bordered on a pathological inability to waste food. I ate my meal and anything my wife or kid didn’t eat. I’d eat a meal out, go home and have a sandwich. We ate at bars and pubs because the servings were larger. I would eat until I was very uncomfortable if the portion was large enough. Now I still can’t bring myself to leave food – so I have this silly aversion to ordering anything more than something off the appetisers list. I don’t like asking for to-go containers (it’s an Australian thing – it’s really stupid because we pay so much for food out we should keep every bloody morsel) but have started to now order what I actually want instead of what I think I can finish. It’s funny – I went from ordering what I thought would be the biggest portion so I didn’t feel hungry (instead of what I thought looked good) to ordering what I thought I could finish and not waste. Regrets? None to speak of specifically. In a very minor way travel is less fun. I looooove travelling to southeast asia and the USA and love eating all the different things. My appetite is so low now, and eating can be so inconvenient, that I don’t get to eat anywhere near as much variety when I travel. I was recently in SE Asia and looking forward to a huge array of currys. I ate only two in five days as I had no appetite at all. I just need to travel differently now - actually plan to stop for meals instead of just charging all over a city and snacking on the way. I wish id been more sensitive to my wife's emotional processing of the scenario. She's gone from having the tall, chubby guy that was the physical build she was attracted to, to having a skinny beanpole. This was while she was having our second kid and all the very natural weight gain associated. She's not overweight and is, objectively i reckon, absolutely gorgeous but definitely feels marginalised by the process and is quick to colour me as vain or obsessed with my image now I am buying new clothes. I think i could have been more mindful of what I said or did. She was overwhelmingly supportive though and agrees this was worthwhile. Closing thoughts If you are considering this process and maybe you're on the margins of eligibility my experience would say go for it. my hope here was to give a vanilla experience to the mix, unique only in my taking the more permanent bypass on despite my lower starting weight. Sent from my SM-A705YN using BariatricPal mobile app

Steroids will cause weight gain. If you can only eat unhealthy foods are you too tight? Discuss it with your surgeon.

I agree with all the responses. For me, I wasn't getting in my required fluid intake due to swelling in my stomach. After surgery, I had a 10lb water weight gain. It took forever for the weight to come off. Once I was able to get in more liquids, the weight starting rolling off. I'm currently in another small stall, but I know it will continue to drop. Good luck!

I had surgery September 15th and the last two days I’ve gained weight. Please tell me this has happened to other ppl?? That it will go away?? I’m so upset!

So let me start by saying this , I got the lap band to improve my quality of life. Because I have PCOS ( Poly Cystic ovarian syndrome ) and migraines I am at greater risk of things like stroke, diabetes and high blood pressure as it is. Being over weight adds to that. So I wanted the band to reduce that risk BEFORE anything bad happened to me. I am a mother of 2 boys who need me . After I first got the band things were great, I could eat what i wanted, just smaller portions and occasionally threw up after eating too much , or so I thought .. I even changed the way I ate, what i ate , i felt better so I ate better. I was , as you can ask my doctor , the model patient, i did everything I was suppose to (with the expectation of working out and that lesson has been learned trust me ) Eventually what I ate seemed to come back up more often , But after losing 125 pounds I thought I was doing ok. At a year out a slipped my band , that is where my stomach comes up through the band and can potentially be very serious. After it corrected it self I gained some weight ... It slipped again , more weight gain . I was then told my band had scar tissue build up around it and I could no longer get the fills I needed to lose the weight the opening to my stomach would be closed off it was filled again . That was around 2-3 yrs ago . As time has gone on I have slowly gotten worse. You see because of where the scar tissue is I still have " restriction" Meaning , I am still limited on what i eat , so things like steak, pork, chicken , solid Proteins wont go down . The food literally sits on top of my band until it gets either pushed through , which is very painful , or it comes back up . If I throw up too much, my stomach swells and eating any form of solid food is impossible for several days. So i have to go to liquids, milk shakes, Protein shakes , mash potatoes things like that. Those type of things are high in calorie and cause me to gain weight , but what other choices do i have ? broth, Water ? Yeah those fill you up ?? NOT ! So my day goes like this ... Breakfast: Protein shake cause eating in the morning is nearly impossible. That's if I can get it to go down if I cant and anything comes back up then its liquids for me the entire rest of the day Lunch: I try to eat something semi solid but I usually end up eating Soup Dinner: Some times a salad works but most evenings I throw up my dinner several times over and end up in pain from the swelling . By that time liquids hurt to go down ... NOW that leads me to my "other issues" Joint pain Fatigue body aches head aches My teeth are deteriorating because of how much I throw up Cold feet cold hands numb feet cysts on my feet numb hands You see they are finding out now that people who have had bands for several years are developing auto immune disorders like Fibromyalgia .. Problem ? Docs done believe it yet .. So no doc will help me out . With out insurance I cant get proper diagnoses . You can read more about that stuff here . I am now 20 or so pounds away from my original start weight before surgery . That's right I have gained nearly ALL My weight back . And at the rate I am going by next month or so I will exceed the 250 pounds i was before my surgery . I had my revision surgery on 11-14-2012 after surgery they told me the band removal went fine and they were able to repair a hiatal hernia , that was a surprise to them ( and me ) and sleeve me in one procedure. I was SO relieved to have had it done in once procedure. The day after surgery I started throwing up water and unable to keep it down . After a couple more tried they ordered an EGD for me . They told me if the scope went through easily then and showed no obstructions I should be fine and not need another surgery , but if it did not I could have excess scar tissue from the band and I could need another surgery . WHAT !! Yikes . So they did it and it showed no obstruction some swelling around the band area ( where the band was ) they told me to take liquids slow . For several days I was still throwing up just water, in fact it freaked me out because it looked like I was throwing up some blood as well. Finally around day 3 or so the water was staying down . So finally I was able to go home today . NOT an easy process that's for sure , but I am glad its over. The doc told me to progress my liquids slowly , as long as I was keeping liquids down I was fine , the minute i started if i did throwing up liquids I needed to come back . But to just take it slow . I have been home for about a week now and its still a back and forth issue with food. I encourage ANYONE reading this to NOT get the lap band, do not ever tell anyone abou the band and Hope some day it falls off the face of the earth !

As a fellow bi-polar lap band patient, let me say that bi-polar depression is different than any other kind of depression. You cannot 'dig yourself out of it' or do any other non-medicinal types of activities that relieve it. The doctors are careful about giving anti-depressants because some can cause manic episodes, so we are limited in treatment options. Medications that work fine at one time can stop working completely, and they seem to stop working long before the drug companies come out with newer medications. It is a constant battle to find the right medications, at the right dosages, just to make you functional, forget about being happy. Losing weight is almost impossible, especially when so many of the medications cause weight gain. That, coupled with the fact that during the depression you feel like your feet are in cement and you just cannot move from fatigue and exhaustion. I have come to realize that losing weight, even with the band, will be more difficult, and slower that non bi-polar lap-banders. I've had mine almost a year and have only lost 20 pounds. But last year I gained 15, so I figure I am ahead 35. I have learned to be satisfied with slower weight loss, but I am not giving up, I'm in this for the long term. Cindy B.

The scale really isn't the sole measurement of success, especially when it comes to weight-loss. You said yourself that you're having to buy smaller clothes: that's a great hint of success. Look at how you feel. Take pictures to compare. Measure yourself. Make note of any comments you get. I've been called 'hot' two times today; very new to me! If you're running, you may want to up your calories. It's common to lose quickly in the beginning, but it does slow down; remember 1-2lbs a week; you can't expect the same rapid weightloss because well..it won't happen. On the days you aren't running, keep your calories sort of low; when you're running, up them. For me I eat 950 calories on the days I do heavy exercise; on days with weights/stretching/sculpting I eat around 850. Try messing around with your calories, maybe add in a little bit of weightlifting or just stretching when you aren't running. Hope this helps. PS. I doubt you aren't losing weight due to cardio/weight gain in muscle. Women don't gain muscle easily and in the end while it does weigh more, there's no way you're gaining more muscle than you are losing fat.