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I was sweating bullets because I knew I had gained a few pounds over the Thanksgiving Holidays after my approval. Between the holiday and a couple of "Last Meals" I had put back on about 5 pounds but I had lost 20 in my 3 month weight loss period. He came in and started off by pointing out the weight gain and asked what was up. I told him and he was cool with it and said I would lose those 5 and several more after my 2 week clear liquids pre-op phase so it wasn't a huge deal to him. Btw, I not only lost those 5 but an additional 10!

Hi all! My surgery is next month and my pre-op appointment is tomorrow. I've gained a few pounds since my last weigh-in a couple months ago. Did any of you gain weight after approval? If so, did it matter? My pre-op appointment is tomorrow, so I'll find out then but I wanted to check in with everyone here to see if anyone else experienced this.

Hello. I'm not really sure of where to begin with this post, but I guess that I'll start by saying that I am dangerously... well, obese, I won't lie to myself any longer about it. I am 5'4" and as of yesterday evening, 302 pounds. I have a BMI of almost 53, which has scared the living daylights out of me, especially since I'm still able to not only walk, but run, stand on my feet for long periods of time, fit into "standard" sized seats, etc. I simply didn't think that I was "that bad". But the inevitable health problems have begun to crop up, and I'm frightened that if I don't do something now about the weight (I'm 38 years old), it'll simply get worse over time. Last year, my health provider suggested the idea of surgery, but I immediately nixed it because I was under the impression that it was a very dangerous procedure (however, it wasn't LapBand I was thinking of, but Roux-en-Y, which I still would rather not do - I think I'd prefer the weight problem over my stomach being stapled). Unfortunately, I no longer have that same health provider due to an insurance switch - so now I have no idea of how to go about it finding out how to get qualified for the procedure. From what I've read on this board and others, I know that I have to meet a certain BMI requirement (at a BMI of 53, I don't think that'll be an issue), and that possibly I may have to show that I have tried other options (which I have, I've been on Weight Watchers since November of last year with little to no results). I have not tried Jenny Craig or Nutri/System or the like - and I'm hoping that I don't have to, because I don't think they're going to work for me at this point. I know that I need to see my primary doctor at this point and explore options. I know that I'll have to be tested for everything under the sun before they'll approve a surgery. I'm honestly scared, as I've had some really rotten experiences with doctors and health care in general - but I know I have to do this. I also have a lot of mental health issues (severe depression, amongst other things) which I think may have been a major contributing factor in causing the weight gain in the first place. Anyhow, I just wanted to introduce myself, I guess. If anyone could point me in the right direction as to how to get started, what I should do, what things I can expect, I'd be grateful. Thanks.

I Know the two weeks is for the benefit of reducing my liver so I have been strong and not cheated at all. What I can't figure out is why I've gained .2 lbs exactly everyday for three days in a row. Seems a little odd to me. Hope I start losing after surgery.

I'm 4/18 also! My surgeon doesn't require any specific diet prior to surgery except Clear liquids 24 hours beforeZ. Encourages some weight loss prior to surgery but mainly do not any weight gain prior to surgery. Thinking about dieting starting tomorrow anyway. Getting super nervous and excited! Sent from my iPhone using the BariatricPal App

eating boullion AGAIN... is this normal to "eat" all the time the first week. I am getting in boullion, water, sf popsicles and sf jello. I feel like I am doing it ALL the time!!! Not that I am worried about weight gain, just wondering if anyone else "ate" all the time the week after surgery. I know I am suppose to be getting my water in and I have been so far. :clap2:

I'm 18.5 weeks pregnant. I won't have any issues losing the pregnancy weight. I'll just low carb it again until I get the weight off. I gained a few pounds over the holidays and dropped those pounds in a little over a week just by cutting alcohol and carb consumption. As for the breakdown of weight gain with a pregnancy, this is what they've outlined for my weight gain: Maternal Fat- 7lbs Baby- 6-8lbs (average is 7.5lbs) Increases Fluid (blood volume)-2-4 ( a mother's blood volume typically doubles during pregnancy) Amniotic Fluid- 1-1.5lbs Placenta- 2lbs Breast tissue/mammary system weight increase - 1-2lbs Watch out for the ROSE procedure, it has an 85% failure rate. This is also discussed heavily on the obesityhelp.com Revision forum. ERNY (extended RNY, where they remove more intestine to start malabsorption again since intestinal adaptation has taken over at this point for you) is also an option. They will shorten your common channel by another 50-100cm. You definitely want to know before you agree to a revision if you have a pouch or stoma dilation because if you have actual mechanical failure with your RNY even a band over the pouch isn't going to do much because once the food passes through the band pouch into your RNY pouch, you will still be able to more food, and your malabsorption is gone. As for Jerusalem clinic, honestly, out of over 3 years on weight loss forums, I have never read of one patient having a RNY take down and revision to the VSG being performed there and honestly that is possibly why they are recommending the band over the bypass pouch to give you restriction again. Seriously, I can name 4 surgeons worldwide that are experienced with these surgeries, and with self-pay patients the cost just for the surgeon run upwards of 20-30k because it is such a complicated and exhausting surgery to take down an old RNY. I promise I researched revisions for months once I knew my band had to come out. The risks for complications especially leaks from scar tissue and adhesions literally quadruples with revisions vs. a virgin, unaltered stomach/intestinal tract. I had a leak with a band revision to VSG after only having the band for 8 months, and actually lost more stomach tissue because of the damage the band had done. My surgeon was experienced with revisions, and I happen to be a statistic of his that I'd like to take back. I was his first and only VSG leak so it can happen even with really experienced surgeons. I'm not slamming Jerusalem Clinic, but revisions are super tricky, complicated, and I would hate to see you fork out the money, get a surgery that is as high maintenance as the BOB procedure and then continue to struggle with your weight and be looking at or for another surgery. There have been RNY to VSG revisions performed due to reactive hypoglycemia symptoms and diagnosis after RNY, but again, it's a very complicated surgery with high risks. Just choose carefully, and continue to research your options.

My doc waits 8 weeks post op to do the first fill. I was like you, very hungry and kind of worried about weight gain. Hang in there. You really do need the healing time before your first fill. It will come soon enough!! I had my first fill last Thursday and WOW! I already have restriction. So, hang in there. Nuali

I will be very interested in seeing how you go with this. 80% of the reason I am having this surgery is due to the diabetes. I am so insulin resistant and they just keep pumping me fuller and fuller with it and it causes weight gain and inflamation in every part of my body. Somedays I can't life my hands above my heard to blow dry my hair, Wising you the very best and hoping so much this is the answer to oru diabetes problems. or that at least the need for insulin is lessened.

You will be alright. Although for future reference, remember to stop after you initially make a bad choice. That thinking of "I might as well eat all that I want, since I've already blown it" will get you into trouble. One bad food choice shouldn't have too much of an effect on your weight loss. It is the continuation of bad choices after the initial one that will lead to weight gain. Think about it, when you run a red light, do you decide to go ahead and run red lights for the rest of the day? No, that would be silly. It is the same for food choices. If you make a small slip up, own up to it and move on with your bariatric diet.

It's ok to have a freak out moment. Maintaining and eating more calories is a whole new mind set. Your surgery restriction is still good at 6/7 months out. Your restriction may feel less after your first year. Check with your dietician and see if they would approve liquid sources. I drink liquid carbs to increase my intake for distance running. look into body building weight gain/muscle mass protein shakes. The macros are much different than bariatric shakes. (Read the nutrition fact labels)

@@Ldimples I am so sorry about your dog. My family always had toy poodles when I was growing up. I can't say for sure but I am guessing the weight gain is due to swelling or Water retention, etc. It's good you're up and walking. Wishing you a continued good and speedy recovery.

Your welcome. I had exactly the same thing happen, only I tried to live through it for the weight loss. My doctor INSISTED it was not the lad band and that I would have had reflux with or without it and it must just be me. I got down to 158, but basically from starving and dehydration. I could not keep anything down and would throw up constantly so I just stopped eating. I wound up in the hospital on IV and having to have an EGD etc. to figure out what was happening. Again, the doctors looked for every other explanation, pancreatic tumor, celiac, etc. I kept suggesting the band, but was dismissed. I went to a totally different doctor for an unfill. Within minutes I felt better, go figure. They weight loss was nice, but the cost was not. The weight gain is frustrating, but my health and well being is more important. It sounds crazy, but I used to joke that I would do anything to lose weight and if I wound up in a coffin at least I would be thin. IT IS NOT WORTH IT. Go slow, and at least periodically get fills using floroscope. That's the best advice I have. Good luck!

Be careful sweet Vera with the Paxil, Paxil is what led to my demise of weight gain. I gained 65 lbs in 1.5 yrs. It slows down your metabolic rate to almost zero..however the stuff works for the mental part of it all ...I do not want to discourage you ,but just know there are other meds out there that dont have the side affect of so much weight gain and have the same affect on the mental part of it

Yes it does. I had un-diagnosed PCOS for 30+ years. When it was finally spotted and treated the Metformin and hormone troche together meant that I dropped 20+kg without changing my diet. Then the thyroid went and my TSH was off the scale almost at 57, I thought I was dying. The result after 18 months with no thyroid was that my weight had gone up and over my previous untreated PCOS maximum and was at 138kg. I am now down to 105kg since my op in Aug 09. The band, with some restriction, stops me feeling hungry early in the day then lunch-time onwards I just eat the normal low GI food that is best for PCOS folks anyway. The weight loss helps with the insulin resistance which in my case has turned into type 2 diabetes due to the thyroid collapse, I think I am now back down to just plain old fashioned IR again now. :-) I thought like you that it wouldn't be any benefit but once I hit 138kg, after fighting the insulin resistance weight gain all my life and then having the thyroid do so much to add to that side of it, my GP recommended it and I said...but I am overweight because of medical conditions that will still be there working against me even with a band and I felt very mis-understood by them. I talked to a top diabetes expert and my trusted endocrinologist (who had diagnosed the very obvious PCOS missed by my Gp's for so many years) between us we decided that at 45 years of age I did not want to spend the next 3 years trying to get my weight back to where it had been before my thyroid packed up. My life was wasting away and I decided after much research and heartache that I did not want to die of a heartattack while I undid the damage from the PCOS and Hashimotos. I felt cheated, like it wasn't my fault and why did I have to have the operation. I also struggle with the pre and post op care as no one reads my records and assumes I am a junk food addict that sits on my butt watching TV and stuffing my face all day and that's why I am overweight! If your excess weight is due to the IR then so long as you are having Metformin for it, hormone treatment for the excess androgens and Oroxine or whatever (none generic, go for the full price brand,,,there is a difference!) for the Hashimotos it should benefit you. Make sure your T3 & T4 are at the high end of the range and your TSH at the lowest end to get the best benefit from your thyroid meds. PCOS is hard to deal with as it is a collection of symptoms that are too often attributed to other things. The PCOS symptoms are related to an excess of androgens and Insulin Resistance. These need to be treated by a doctor with specialist knowledge. Menstruation needs hormones to regulate it. The body hair is the wrong sort, male hair not the softer velus female hair, hair growth can slow down and lighten if hormone and hair treatments are used at the same time. Excess body weight, probably carried centrally - small bum, skinny legs and big round belly, is caused by Insulin Resistance which prevents you from using and causes you to store too much of the energy you consume, Metformin deals with this and then the band will give you the best help to get rid of the excess weight you have probably amassed throughout the years. Both Hashimotos and PCOS are autoimmune type conditions. Auto Immunes tend to run in packs!! Most people that are diagnosed with one have or end up with more than one. Good luck with your decision and journey. I would say that the band in conjunction with Thyroid treatment and PCOS management will take you where you want to be. I'll see you when you get there :-)

Your plan should mention something about weight gain. My plan required an exercise program with documentation. Sent from my SM-G530T using the BariatricPal App Guideline says "there should be no net weight gain". I hope that means over the entire 90 day process. It's not that specific so I am keeping my fingers crossed and was wondering if anyone else had experienced any issues. Sent from my SM-T230NU using the BariatricPal App

I am finishing my liquid stage, during which I lost 24 pounds, today. Is it inevitable to gain weight now that I am starting to eat food? I find it hard to believe that, even with careful monitoring, that I won't gain weight initially. Any insight would be appreciated. Thank you, Bruce

I'm Almost 50. I've been Heavy since 2003. Obese since 2003. The years between 2003 and 2013 were Mixed with periods of overweight, weight loss with Atkins diet, then weight gain to morbidly obese, at 253 pounds. Then, weight loss again to achieve overweight status with b-12 shots and appetite suppressants to now---once again--- obese. Battle-battle-battle Obesity is in my family as well as diabetes & heart disease. I lost my father this past April to heart disease. I have high blood pressure & I am borderline diabetic, now I have new severe back pain and ailments coming out of seemingly nowhere. But, the "nowhere" is bad health and it finally got my attention. Researched options including lap-bands in 2012 Sleeved 2/25/2013 The rest of the story...will be Great Success (and I will keep you posted) through the support of my family, consideration of my clients and support from forums like Vertical Sleeve Talk. We were born into a community because we all need each other. I LOVE what I do. I am a Licensed TX Broker & Realtor and I am the happiest girl in the world. I am ready to give more to my community and really live life to the fullest. I am very grateful for this opportunity and do not intend to squander it My life goals: To Breathe life where ever I go. To Give the gift of encouragement. To live with incredible passion so that "Life itself" continues to be THE most amazing lover I've ever had ! (Copyright)

Stress definitely effects my weight, and fat deposits. Everyone knows we've been trying to conceive. As much as I say I'm not stressing about it, how can I not be stressing, right? Anyways, one thing I have noticed is that my fat has been returning to my stomach area. I have a muffin top in a size 2? ?? How can that be, right? Plus, my husband's job is changing and very demanding which in turn puts more stress on the baby-making, I'm just a hot mess. I am a firm believer in the cortisol causing belly fat, and weight gain or stalls. It's a hormone and throw that in with all the other hormone stuff going on, it's the perfect storm. Find a massage school, and go rubbed down once a week ! ! !

Hello everyone I am new to this page I am 5 months in to my insurance approval process, and I just met with my surgeon here in Birmingham Alabama. Before i met with him i was looking at the Gastric bypass mainly for the reasons of negative reinforcement from dumping. Once i met with him he recommended the sleeve. I know in the end its up to me iI have done a ton of research lately and the sleeve and bypass seem to have the same weight loss percentage just a different amount of time. I also worry about weight gain after the fact i know it can happen with both. My Surgeon told me that a lot of the reason he recommends the sleeve is because of my job which is 75 to 80 percent of the time behind a desk. but the other i might be doing a lot of heavy lifting and walking with heavy loads. I am 6'3 420 currently and not sure which way to go I would love as much advice as i can get I am also putting this on the Gastric Sleeve board as i am confused as ever.

My surgeon explained to me the that the muscle tightening portion of a tummy tuck is to basically sew the gap between the abdominal muscles together. See those six packs on super fit people? Im referring to that vertical line between the “packs”. pregnancy and midsection weight gain push this gap apart resulting in outward bulging. Sewing the gap together give a tighter, flatter look.

There is some fear mongering to an extent, and it's justified. It's easy to get a lot of empty calories from liquids. Slider foods (things like mashed potatoes or ice cream) you'll find you could still eat quite a decent amount of only a few months after surgery. The risk/concern is that because it's easy to have more of those foods people will transfer a food addiction to those. For instance my NUT told stories of somebody that nibbled on pizza all day long. They couldn't eat more than a piece in a single sitting, but the constant grazing led to weight gain. Same with somebody snaking on the mini Snickers all day long. Yogurts are a staple in my diet. No, they don't fill you up but it's a healthy snack and easy way to get protein in. I don't like offices that make this giant banned list of foods. You can eat nearly anything a few months after surgery. It's just a dangerous path to go down for a lot of folks. Some things are gone and have stayed gone (foods that I struggled with). Other things I allow myself to have maybe once a month and I'm fine with that. Pasta used to be dinner at least 2 nights a week. Now I have a little bit maybe once a month and that's all I care about having. I don't have cravings for it like I used to. If I never had it again I really don't care, and I was a massive pasta lover prior to surgery. I get why they do it but I think there are better approaches to take. The straw thing is mainly in the beginning to avoid the risk of drinking too much too quickly. I use straws now but have to remember that I can't pound a drink down like before.

Donali: You will succeed I am positive to maintain and to even continue to lose. Don't get discouraged if you see a weight gain in the first few months after the removal of your band. I am sure that will be normal but to acknowledge that and stay on track. The only that I might add to your wonderful list is to add a "fasting" day in there. Maybe do one day either a week or every two weeks of a juice fast with Protein Bars or Protein Drinks as supplements. I do that now and it jump starts my weight loss when I hit a wall. It also helps cleanse the system of all the abuse we sometimes throw into it. Keep up the positive attitude and all things are possible. We are all here for you.

Eventually, no matter how we get there, it all boils down to not ignoring the facts of life. I have many long-term normal-sized friends who have always lived this way. In contrast, my lifestyle has pretty much been one where I had reasons / targets / deadlines for getting slimmer. Staying slim was always a little too boring to pay much attention to. Besides, I could always lose that 20 pounds again, right? Because I was so good at losing 20 pounds. Then 30. Then 40. Then even (gasp!) 50. But eventually, my dieting / weight losses / weight gains / aging / arthritis / mental gymnastics were CAUSING the problem, not solving the problem. I am coming to peace (intellectually -- although I'm not that far in my journey yet) with the idea that WLS is really about getting to the point where we have a fighting chance to learn how to maintain a healthy weight. We and others give us so much positive feedback for losing weight. But we don't get much positive feedback (or little biochemical rewards) for maintaining our weight loss. This is a real big subject.

Ahh yes it’s crazh though @Matt Z I intake between 300-500 calories per day and I mean I know I work it off. I’m walking 2 miles a day and 2-4 times hitting up the gym for my cardio. And of course sleeping burns like 700-800 calories😂 i know it’s still early in the game for me but I hit the ground running after my surgery and this little stall and only 1lb per week thing is killing me !!! Maybe your gaining muscle. That has happened to me in the past we’re I was gaining muscle and losing inches. So that little weight gain your having isn’t necessarily a bad thing.