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I am 3 years post op from gastric sleeve and I want to do a revision, however the provider wanted me to have a esophageal x-ray before making the final decision, during this x-ray it was determined that I have a Hiatal Hernia. Has anyone else that has had the sleeve ever gone through this before and if so what did you do? I want or need to lose 60 pounds so that I don't have to do the revision any ideas on where I can start, I love water aerobics, walking and weights.

It'll depend if you ask for the US view or the global view. US view = no. I was cleared for alcohol 28 days post-op. I have had a drink or a glass of wine weekly since. It hits a lot harder, but I have a significant bypass, not a sleeve, so it goes further down - faster - and I adjusted my amounts down accordingly. I'm in the 95th percentile for weight lost, was told to stop losing 10 lbs ago by my program, and have maintained a steady weight for four months now. Still drinking weekly. You need to have an honest talk with yourself about this. And by honest, I don't mean 'I can stick to one at this one thing' and then it goes off the rails. Really think about if you feel like you can manage it. If no, don't. If yes, well, have fun.

I had my band removed in sept 2021. I had it since 2006. my weight has been slowly creeping up and up, I am finding myself in same situation I was when I went forward with the band. I am in process of requesting consult with my surgeon. I am not even sure if she will. I just turned 63. not sure if my insurance will even consider. Has anyone has success with lapband to bypass??

Onederland and 100lbs lost and below your goal weight That's 3 huge celebrations in one. Well done and Happy Easter

Being able to wear clothes in had in the closet only to find out their way to big. This one I'm not sure how to react to, people you haven't seen in awhile, and they'll say something like did you lose weight and how did you do it Sent from my SM-N986U1 using BariatricPal mobile app

4 days since surgery. I’m still so tired. The focus of my whole day is trying to get enough liquid down my throat. I went for a decent walk in the sun today that exhausted me, it was great to get outside. But on the upside no regrets, (except for a horrible panic in the-night on day 2 when I had a very different, migraine type of headache and I panicked that i’d have a headache for the rest of my life) and the weight is falling off me, 2 kg since surgery. So looking forward to feeling fitter and healthier.

Could you get down from 390 to 200, or even lighter, and then keep it off? Yes, absolutely. Anyone can, with or without surgery. However, there's a difference between can and will. Obviously, I don't know your physiological intangibles such as your muscle profile, body type, genetics, ability to stick to goals, follow a bariatric diet, etc. BMI doesn't account for these things. Because of this, we can crunch some statistics, and assuming you're average when it comes to the intangibles, we can begin to get an idea of the odds for you. Based on the BMI chart, every pound over 154 pounds is excess for your height, which leaves you with 235 pounds of excess weight. Now with sleeve statistics, the average person loses between 60 and 70 percent of their excess weight. Obviously, some lose 100 percent or more of their excess weight, and some lose much less than the 60 to 70 percent average, but again, let's assume you have an average surgery experience and lose 60 to 70 percent (we can call it 65 percent as an even marker). 65 percent of 235 pounds of excess weight is 152.75 pounds. 390-152.75=237.25. So, by math alone, 237.25 would be your most likely outcome, which is obviously 37.25 pounds over your goal. To meet your goal, you would have to exceed statistical expectations when it comes to average amount of excess weight lost for sleeves. Instead of losing 65 percent of your excess weight, you would have to lose approximately 81 percent to hit 200. I'd certainly say this is doable, albeit not easy. Now the unfortunate thing about losing weight is that your body fights you on it, and it has various forms of ammunition. Cravings, plateaus, and different types of phantom hunger are all in its arsenal. Bariatric surgery depletes our bodies' weapon stock to an extent and limits the damage should we fall into one of its traps. It's something we can lean on. It won't do the job on its own, but we've essentially enlisted reinforcements that swing the odds of success in our favor. However, the one thing that bariatric surgery won't change as we get closer to our goal weights is adaptability, and this is probably why your weight loss has stalled in the past. Our bodies learn our tricks. They adapt to low carb and low calorie diets, and thus, the weight loss stalls until we give up. So what do we do? If a plateau occurs, we have to change our tactics (even slightly) to catch our bodies off guard again. Change the diet and eating patterns slightly. Try a little intermittent fasting, or maybe switch out your carbs for fat for a bit. Same thing with exercise. If you're exercising (let's say running for example), switch things up and go to HIIT training or swimming for a while. Once your body adjusts to that, then go back to running. It's a little weird to be "at war" with ourselves, but the reality is that we are. Got to be smart and merciless when it comes to confronting the weight monster.

I know surgeons and dieticians/nutritionists have a variety of pre -op and post-op diets, but two weeks on a clear liquid diet after a sleeve for someone at your start weight seems extreme. I certainly wouldn't have survived two weeks on a clear liquid diet post-op.

stalls tend to last longer the closer you get to goal weight. I remember so many times during year 2 thinking "well, this must be it...", and then the scale would drop again. It finally stopped for good at 20 months out.

Hello All, So, I had my gastric sleeve done about ten days ago. Had a lot of pain in the day or so afterwards, but that dissipated fairly quickly. However, with the physical pain reduction has come something that's also painful. Food cravings. Food cravings more intense than any I've ever experienced in my entire life. Multiple times a day, and my mouth literally waters. I haven't been eating stuff besides protein shakes, broth, and sugar-free Jell-O for obvious reasons, but there's no question that I would be if I could. This isn't just "in my head" either. My stomach is definitely involved as well. I can feel it empty (although certainly not as empty as 500 calories a day would've left it before surgery). This has been a shocking experience for me. Nobody at my surgeon's office gave me a heads up about anything like this potentially occurring. With that being said, can anyone offer any explanation? Is this common and/or just a mental thing? Did my surgeon do a bad job (apparently my stomach was one of the biggest he's seen in thousands of operations, and someone literally took pictures of them standing around it in the operating room after it was out)? I've also considered the possibility that my body is "fighting" me atm, as I've been losing weight rapidly (was 355 on surgery day (4/4) and was 334.5 this morning). Anyways, can anyone assure me that this is temporary or offer any wisdom at all? Thanks.

I have a closet full of nearly brand new clothes i have had for years and years that i havent been able to wear for about 6 years now. I am excited to be able to wear them once i loose the weight.

Ok first of all -- YOUR RESULTS ARE INSANE!!!! SO HAPPY FOR YOU!!! My goal weight is 150-ish! Okay, I have not thought of these "cheese curds" you mentioned. Were they good? I have boiled lots of water and added seasoning like bouillon powder and cubs to add flavor. I'll have to google that or youtube it and see how it's done! I love the creativity!!! I need to eat more of the popsicles I bought. I don't love the texture of the ones I got, but I've tried other sugar free popsicles that were soooooo fruity and much smoother.

So I had a stall. An eight-week-long stall. And I'm pretty close to my goal weight, so I figured maybe this was it... they say N% of your excess body weight, and I'm way past that N%, so this must be it, right? I know it seems early (seven months out), but maybe my body's reached its new set point. Yay, no more meds, yay, normal sized clothing from the middle of the size range, not the top end and oh please God let it fit. So I bought a bunch of new clothes. I've been wearing hand-me-downs and Goodwill thrifting specials for months now, and I wanted some new clothes. I had some belts made, too. Finally I can start to look like an adult! Ha. Ha ha ha ha ha. My body decided, over the last week and a half, to lose NINE POUNDS. The clothes I bought are too big. Fortunately some of them still have the tags so I can exchange them. But I guess I needed to do this in order to get things moving again. LOL.

You have infinite patience imho. I’m trying to remain positive, and so far so good. My surgeon’s admin is waiting on one document…the CPAP machine receipt when I pick it up next week…and my packet is ready to be submitted. today I had a visit with my PCP to begin ‘documentation of weight Loss failure.’ I figure if I’m looking at mid June for surgery, I can use this time to jump through the only Cigna hoop that remains unaddressed. 🤷🏻‍♀️

@ vikingbeast......wow! Only 1 day clear fluids.....😲 amazing how differently things can be doctor to doctor. I have a high BMI and I was told I have to have 2 full weeks of clear liquids before surgery. Now I know thats to help shrink the liver (plus to aid in further weight loss) but shocked yours was only 1 day lol....Im jealous 😜

Awesome. glad to see a actual guy on here and their results. But yea everyone goes into a stall. But keep working on it and you will continue to loose some weight.

Hello Skins657, I had the lap band placed in 2010 (self-pay) and although I specifically chose the band, from almost the beginning I recognized that it was a big mistake. I was constantly hungry, and I found the band to function erratically. Sometimes I had almost 100% restriction, but most often I had 0% restriction. Insurance did not cover adjustments and they ended up being very costly and did not help. I lost some weight but gained it all back during my decade with the lap band. It was only recently (during the pandemic) that I learned that I could have the band removed and undergo a different bariatric procedure. Unfortunately, my only option was a gastric bypass (covered by insurance) since the band had caused so much damage to my esophagus. I picked a surgeon who had a lot of experience with conversions from band to bypass. I had my bypass on 4/5/22 and so far, so good! For what it is worth, I wish that I had never chosen the band.

Don't do this. Don't try to set yourself up for metrics like that, because everybody is different, and most importantly, every BODY is different. I will say that my bariatric centre's nutritionist tried to shame me for eating 800 kcal a day and told me that's why my weight loss stalled. I fired her loudly and found a different nutrition coach, who increased my calories based on my activity level, and weight loss resumed. I currently eat 1500-2000 cal a day at seven months out and am still losing, though I am extremely active and also taller and heavier than you are. I do want to say one thing, because I'm a total control freak and had to weigh myself every day. Get out of that habit right now. And if you must weigh often, then keep a running average. Pick a day—let's say Wednesdays. Every Wednesday add up your total weights and divide by the number of weigh-ins. Then track that average. Why? Because your body has way more going on than just fat loss. If you eat salty, or if it's time for your courses, or if you've been doing a lot of weight lifting, or if you're constipated, etc., etc., your weight can fluctuate by as much as 3-5 lbs. over the course of just a couple of days. Does that mean you "gained weight" (as in fat)? No... you couldn't eat that much. So it's inflammation, or bloating, or muscle inflammation. Learning this saved me from the terrible things I would say to myself if I stepped on the scale and had an unexpectedly high weigh-in.

I originally joined BariatricPal in 2009 while researching Lap-Band. I never followed through with that procedure. I've struggled with my weight since then. I did lose 120lbs by diet in 2016/17, but have since regained it then some following an unexpected pregnancy. I finally had enough when I saw the highest weight I've ever seen staring back at me once we installed a new scale in my office. I waited to tell my mom that I was going to Mexico to have surgery because in the past she's been negative about traveling for the procedure. She surprised me though when she not only was happy for me but decided to have it done herself as well. We will be traveling to Piedras Negras to have VSG with Dr. Alvarez at the end of June.

I meant to make a post for six months, but then life happened. So here I am exactly seven months out from surgery. Current weight: 268. Down 128 lbs. from my measured high, down 98 lbs. since intake, down 89 lbs. since surgery. 17 pounds to goal. It's gotten a lot slower, and I expected it to. I hit a major stall for more than a month right around the six-month mark. I'd lose a pound, and then I'd retain water or work out hard and cause inflammation, and those gains would be erased. My week-over-week average did drop, but by fractions of a pound. Then this week—whooooooosh, I lost five pounds in two days which just means my body cleared out the water, the 💩, and whatever else might've been hiding in there. The big marker has been my body fat; at intake, my body fat was over 40%. At six months (the last DEXA scan I had done), it was 26.8%, and has dropped since then. Because I have been training like a madman, my muscle mass also went up quite a bit from the initial post-surgical drop. My goal is to be below 20% body fat, whatever that number is, so I recalculated it at six months and my goal weight moved from 240 lbs. to 251 lbs. (I'm a thicc boi, by which I mean "incredibly dense".) Last week I was hospitalized for an infection and spent two days in there. While the infection absolutely sucked, I did notice my vital signs were exactly where they needed to be, without any medication at all. My blood pressure was 111/67, my SpO2 was 100%, and my resting heart rate was 48 bpm. That alone would have made it worth it. Also, the first night, I did not have my APAP machine and managed to sleep without oxygen desaturation happening (to the very great surprise of the nurse). I need to make an appointment for a sleep study to see if I still need the machine, I don't want to just drop it if I'm still having apnea. I am wearing size 34 jeans (down from 52), large t-shirts (down from 4XL or even 5XL), and my shoe size went down again, so I'm in 11.5s now, which are a lot easier to find. I eat 1500-2000 calories a day depending on my planned activity level. On days when I'm going to work out and then coach, I eat closer to 2000 cal; on days where I am more sedentary, I eat closer to 1500 calories. It's about a 40/30/30 split between protein, carbohydrate, and fat calories. If I start feeling the restriction, I just stop, no matter how many calories I'm up to. I find that if I force myself to put the spoon or fork down between bites, sometimes my brain just forgets the food is there, so if I go, "Oh, hey, there's still food in front of me," I know I have had enough. Yesterday's meal plan was this, along with 3 litres of water: 0700: Espresso with 3g brown sugar and 2 Tbsp. milk, 8 oz. tropical chia pudding with a few very small cubes of mango and nata de coco (coconut jelly). It took me about 20 minutes to eat this. 1000: Protein shake (Core Power 26g) 1300: 4 oz. ground turkey breast with 1.5 eggs, some spinach, mushrooms, and roasted yellow bell pepper, with a wedge of Laughing Cow cheese, some salsa, and a high-fiber whole-wheat tortilla-type wrap. This took me an hour to eat. 1800: 6 oz. grilled pork chop with 2 Tbsp. sauerkraut and some cooked apple and caramelized onion, with 4 oz. steamed green beans with a tiny bit of butter. It took me 45 minutes to eat this. 2030: Protein pudding (instant sugar-free pudding with protein powder mixed in, made with milk) and one single Thin Mint crumbled on top Total was 158.3 grams protein, 122.3 g carbohydrate, 58.7 g fat for a total of 1650 calories. Athletically, my mile run has gone from 15 minutes to about 10 minutes (though I don't run as often as I should), my flexibility and mobility are way improved, and my explosiveness has improved—from nearly missing an 18-inch standing box jump to doing a 30-inch with plenty of clearance. I'm juuuuuust about able to do a pull-up (soon!) and can do ring dips and support my own weight on the rings. I can also climb corral fences a lot better now that I don't have to wait at the top to find my center of gravity. There's some loose skin, especially around my belly. There's a little bit of chicken wing in my thighs and a tiny, nearly unnoticeable amount in my arms. The belly one bothers me because I feel like it pooches out, but obviously I will need to be stabilized at a weight for a while before even thinking about plastics.

Hi there. I took part in a bariatric study where I had no choice of what procedure to have. The only one I didn't want particularly was the band due to all the negative reviews. Funnily enough the computer chose the band for me, I had my concerns but the surgeon swayed me to it. So iwas banded in 2018 all was going well, went down from 165kg to 106kg so almost 60kg down. Untill a few months ago the band just overnight. Stopped working?! I always had bad reflux during (was prescribed lansoprozole) but this was really bad. Being sick in my sleep. Then the sleepless nights. I could eat what I wanted with zero restriction. The reason I had surgery is because my brain has no "off switch" so ovcourse as soon as my brain worked out I could eat what I want. I went to town. I have now regained to 140kg approaching my start weight. After tests at hospital (camera down throat and barium swallow) they couldn't for the life of them work out what was going on. To help me sleep at night they emptied the band. They tried to convince me to keep the band and try again but as it wad on my record that I did not want it in the first place they have kindly agreed to remove the band and have a revision to a bypass. (Within a few months I'm told. Just have to wait for the random phonecall 2 weeks prior like last time) Was/has anyone been in the same position??

What I am about to say is a general rule. You are two weeks out from surgery. Within the next few weeks, you will hit a weight loss stall. It will last 2-3 weeks and will be very frustrating for you. Just keep doing what you know to do and you will break through the stall. After you come out of that stall will be the quickest weight loss of the entire process. You will lose the most weight between months 3 and 6. There will come a time anywhere between 8 and 18 months that the weight loss will begin to slow down. You will experience more stalls and you will not lose as quickly when you come out of the stalls. Then there will come a time when you stop losing weight and even gain some back. For example, a co-worker had the sleeve about 6-7 yrs ago. He told me that he bottomed out at 175 pounds, but now he is at 195-200 (down from 330, I believe). As other people have said, there is no good way to say, "I've lost 7.9%, but I am supposed to be at 9.8% by now." Everyone is different. But that is the general trajectory that you should expect.