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I'm a 40 y/o mom of 3. HW 265, GW 150, CW 142. Sleeved January 2023. I loss my first 90 lbs within 6 months of being sleeved and maintained for another 6 months (without quite getting to goal). Unfortunately, at the beginning of 2024 I had some health issues (unrelated to the sleeve) and had to have a total hysterectomy. I turned to my old comfort of eating and gained 20 lbs in 2 months. My appetite came back with a vengeance and my head hunger was getting the best of me. In a moment of panic, I seen my Dr and she prescribed Zepbound. OMG, where has this drug been my whole life?! I loss the 20 lbs. I gained plus the rest of the weight I needed to lose to get to goal weight within 5 months. Unlike the sleeve, Zepbound also helps with the head hunger which is an issue for A LOT of us. It's truly a miracle drug! I was on Ozempic pre-surgery for diabetes and it did NOTHING for weight loss so I didn't expect much from Zep but turned out pleasantly surprised. Despite severe constipation in the beginning, my side effects are minimal and manageable. I feel like Zepbound + my gastric sleeve was a match made in heaven. My health is the best it's been in 20+ years. Diabetes gone, fatty liver gone, triglycerides were high and are now in a normal range. My life no longer revolves around food and for once I feel "normal." I maintain with 10mg every 10 days and it's been working perfectly.

Hi! I’m Emily, new here, so pardon me if this question has been answered more than once, or not in the right category. I swear I’ve looked all over for answers prior to asking. I have my first appt. With the surgeon Monday to begin the 6 month pre op program. I vape, well, stopped yesterday and I’m using patches and gum to wean off before end of July. I was doing well mentally until I learned that quitting almost always causes weight gain. Minimum of 5-10 pounds. I was told by a friend that I cannot gain any weight during the 6 month process but don’t have to lose a certain amount ( she went to the same surgeon I’m seeing) I am also learning how to eat better on top of all of this, and I’m so scared that when I quit nicotine all together, it’s going to inevitably cause weight gain. I don’t want to be kicked out of the program as soon as I start because of this. Would it be better to wait until I absolutely have to quit? Maybe that’s a stupid question. I just need encouraging words, anybody that has been down this path of quitting, whether you instead waited to quit a month or two before surgery, etc. I am so serious about taking my health back, and it’s hard enough to learn to cool and eat right without having to stress about this too. please help 🥺 thank you in advance! ps. Maybe this is trivial, maybe it’s not a big a deal as I’m making it, but even a fraction of a pound I gain could get me kicked out of the program.

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

Unfortunately weight loss isn’t consistent. You won’t get a lovely perfectly straight line on a graph. It zig & zags. More one week, less the next. None one week and a gain the next. We also have natural fluctuations in our weight which are all normal and when we are weighing ourselves every day they suddenly are very obvious. There are many reasons why we have these fluctuations and I swear sometimes it’s just your body messing with you. As long as your weight loss trend (over weeks and months) is in a downward direction you’re doing well. Add some soluble fibre to your soup or shake each day to help with the constipation. I got into a routine too. No poop for three days I took a stool softener. Remember too at first you’re not consuming much so you don’t have much for your body to excrete from so don’t expect to go every day. Despite some hiccups (like the power outage and loss of food) things seem to be going pretty smoothly for you. Yay!

Hii hope all is well with all of you, my surgery day is 10/29 highest weight 314 2 plus years ago starting weight 286 current weight 283 my weight has been up and down from 286 to 283 and it has stayed that way for the past 3 months, I guess good thing is I haven't gained any weight. good luck to all of us in our new journey

So another win is running 5k nonstop . Since my very bad ankle injury 2.5 years ago (which caused half my weight gain to obesity), even walking was a challenge. Since losing the weight I have taken up jogging again and I can run up to 5K nonstop (my endurance can take me to 10k easily however my ankle starts to throb). Another win, I might not end up needing that ankle surgery I've been delaying, Let's see.

I wanted to go back to the weight I maintained through adulthood and motherhood (between 64-67 Kilos/141-147.7 lbs) Where I felt - and looked - my best and was active and in shape. My surgeon told me that he'll be very pleased if I lose 20 kgs (70 kgs), I was aiming for 65 kgs, and that in my opinion would have been a great success. I got down to 65 kilos in 3 months and kept losing for another 6 months until I stabilized (52.5-54 kgs is my fluctuation) and that is around 11/12 kgs less than what I would have considered an absolute success. It is easy to be hung up on a specific number, however it is how you feel and how you fit into your clothes that matters. I would've never imagined myself at 52 kilos (never been that weight except when I 13) and had you told me that I would've gasped out loud in horror. Now, I feel I look great and really healthy. I have a 15 kg wriggle room, and if I do gain a bit of weight it is no big deal. I loved how I looked at 65 kgs and I love how I look now too.

I needed to hear this today! I'm losing around 3 lbs a week since sleeve was done Dec. 2. But went out of town to see my mom and sibs and drank her sweet tea and ate nibbles of things I normally don't now and I'm up in weight. Was 204.2 and now I'm 206.2. (On my phone right now but will change my ticker soon! 206 is better than 215! Lol!) Frustrating! I didn't eat much as I still feel extremely restricted but I think the sugar must cause inflammation and salt always makes me hold water weight. So I'm happy to be back home and working a lot and eating my grapefruit, cucumbers and protein shake, etc. daily. Hopefully I can begin going back down this week. So close to Onederland! Thanks for sharing this. Goes to show just how fast it CAN come back on us. I've lost and gained lots over the years. Hoping this surgery was the tool I needed to help me get my weight down and keep it there. At this point I'd be thrilled just to get to and stay at 199 forever. LOL! But my goal is much lower. But once I get into the 100s I know I always FEEL better. So I'm looking forward to that milestone!

Wow, first of all, congratulations on your incredible success and maintaining such a fantastic weight range for so long! It's truly inspiring to hear how you've stayed on top of it, especially noticing the 20 lbs gain and taking charge of it so quickly—kudos to you for that! 💪 I’m curious, how long did it take you on Mounjaro to lose those 20 lbs? It’s so impressive how proactive you’ve been, and it's encouraging to see how effective it was for you! I’m definitely considering some work down the line after I hit my perfect weight—a boob lift for sure, and then I’ll reassess the loose skin situation. I think it’s so amazing that you’ve embraced becoming a ‘brand new you’—I’m excited to see where my own journey takes me! I do have a bit of a fear of NOT losing, even though my weight loss has been steady so far. Did you ever have moments of doubt, or did it feel smooth all the way for you?

I’m starting to notice a pattern. The dreaded stalls and the gained pound for me seems to come after the too good to be true weight loss 🤣 basically what I’m saying is when I lose a couple of pounds quicker than my normal rate then I may go a week without dropping anything or I actually gain a pound or two before I lose again. But the overall my rate of loss for the last 30 days remains pretty consistent. It is super helpful to have that weight log in the Baritastic app. It automatically calculates your loss over the past seven days the past 30 days the past 90 days. Plus, it has a really cool little line graph so that you can see the steady loss also, you can track your measurements on there which is a nice way to keep them because I tend to lose things written on paper. 🤣

Best advice is to go back to how & what you were eating when you reached your stabilised weight. This was likely the calories and nutritions you needed at that weight. However a bounce back regain isn’t that uncommon. It’s like your body hits a low point but it was actually too low & then you gain a little & your body bobs up to get to what is actually your new set point & where your body is happiest. Check to see if you’ve let a few things slip like with your food or drink choices or or you’ve not been as vigilant about portion sizes, calories, activity, etc. It’s easy to get a bit over confident or complacent with our choices & behaviours. And life sometimes gets in the way of our best intentions. Unfortunately too, many medications, like those you may be on for your depression, can contribute to weight gain. Worth a conversation with your prescribing doctor to see if there are alternatives & also your surgeon to discuss your options to manage it.

I first came to this board in March of 2022. I had my 1st surgery (sleeve) in May 2022. I had my revision to bypass (due to A LOT of complications with the sleeve) in June of 2023. Since then I have been complication free. But I was struggling to maintain my weight. I was put on a diet and exercise regimen to gain and then maintain my weight. Well, my metabolism finally sorted itself out, but I wasn't paying attention. I was supposed to weigh myself once a week to see how things are going. I went 4 weeks without weighing myself. And I was just eating whatever I wanted in hopes I would gain. And boy oh boy, I did gain. I went from 176 to 190 in 5 weeks. That shocked me, because I wanted to get to 180 - 183. Now I have to stop eating willy nilly, get my diet back on track, and focus more on my workouts. I became lax with what I needed to do and I found myself going back to old eating habits. Examples include eating whatever I wanted, even when it went against my diet. Not working out as much as I was supposed to because I was tired or didn't feel like it. Eating when I was bored. Eating something because it's there, not because I was hungry. Grazing all day and night, which was ALWAYS my issue. I'm telling you all this because I've seen so many posts where some of you guys really beat yourself up for messing up. You're afraid you'll undo all your progress. I admit, that has creeped into my mind a bit, but I remind myself that I know what to do and what not to do. I know how to get back on track. And I know how to give myself grace while still holding myself accountable. It's just a matter of doing it. So I'm going to course correct, get back to the proper diet and exercise routine, and really work on my eating habits. Just know that EVERYONE can slip up. It's not the end of the world....even if it feels like it is. Just own up to your mistakes, correct your actions, eat and exercise properly, and it'll all be ok. And with that, I need to go work out. Have a good one, and wish me luck that I get this sorted.

It can be tough when you’re eating well and exercising but still gaining weight. Sometimes factors like stress or hormonal changes can affect your weight, so it might help to consult a healthcare professional.

I did some of my own research first and I had a friend who had got a sleeve about a year previously and I picked her brain a bit. The surgeon went through each of the surgeries listing pros & cons of each. He also discussed my eating habits and weight loss and gain history. Though I had reflux I managed it with dietary choices and maybe took medication 5 times a year he still recommended the sleeve because of my history & eating habits and I had no co morbidities or other health concerns. It was the way I was leaning too so the decision was easy after that. My brother recently had sleeve surgery too. He didn’t have any co morbidities either. The surgeon said he would be considered very healthy for someone in a healthy weight range let alone some one at his weight and recommended sleeve because of that. (Interestingly it was the same surgeon but my brother didn’t know the name of my surgeon to tell him he’d done my sleeve too.)

You definitely have a serious issue, but I don't think it's your weight. Your weight isn't going to kill you, at least not at the size you are right now, but your mental health might. And it certainly is robbing you of the joy in life that you deserve to experience. That's tragic. And unfortunately, surgery or weight loss isn't a cure. Gaining weight can take a toll, both mentally and physically. I understand, because I went from 5'6" and 127 lbs at age 16 to weighing 225 lbs by age 32 and hitting 250 lbs by 49. I tried many diets. I exercised. I worked with a dietician for about 7 years and tried many medications, including Saxenda and Wegovy. I developed high blood pressure and became prediabetic. For 33 years, I gained weight, lost a bit for a while, and kept gaining more. But I also lived a fairly happy life. I got married, bought a house, had two children, started a career I enjoyed, traveled to lots of places I had always wanted to see, learned new hobbies, spent time with friends and loved ones. Was I frustrated that I had to buy clothing in the plus department? Yes. Did I sometimes look in the mirror and feel sad at how I looked? Absolutely. But that wasn't my identity and it didn't dictate what I allowed myself to do or experience. Feeling like your life is destroyed, that life is a cruel joke, and reaching a point where you do not wish to continue living is an extreme and unhealthy reaction to gaining weight. It's a huge red flag that something else is going on with your mental health. That, in my opinion, is way more pressing to take care of right now than reducing the size of your body. I had surgery because I knew it was what I needed for my health. It would clear up physical issues and help me live a longer life with more activity and less pain. I did it because I loved myself and I knew I deserved to get every ounce of joy from life that I could. But a year ago, 80 lbs heavier than now, I loved myself exactly as much as I do today. I don't love myself any more now because I'm thinner, even though I do love how I look. And I love myself now way more than I probably did when I was downright skinny in my youth. There's no magic number on the scale that makes you worth loving. You're worth that at every size, shape, and age. I'm not saying to give up on losing weight or on getting weight loss surgery. If it's important to you, you can find a way. There are some amazing and affordable self-pay surgery options available in Mexico, for example. You could start saving a little bit of money each month now if it feels worth it to you. I hope this won't happen, but if you continue to gain weight, you will eventually qualify for surgery through your health care. In the US, it's at a 35 BMI with comorbidities and at a 40 BMI based on obesity alone. I assume the standards in Canada are similar. But no matter what you do, I would encourage you to find help with your mental health and self-image. You deserve to be happy with who you are and not to have how you feel about yourself be based primarily on something as arbitrary as a number on the scale or the tag inside your jeans.

Bile reflux tended to be the biggie problem with the MGB back in the day. When my wife and I first started looking into WLS almost 25 years ago, the MGB was a proposed alternate to the incumbent bands and RNY but it never gained traction with the ASBS (precursor to today's ASMBS). In the meantime, both the BPD/DS and the VSG (and more recently the SIPS/SADI) have gained acceptance in the US bariatric (and insurance) industry. There are reportedly some techniques that have been developed to mitigate the bile problem, and there may be something to that, and why it may have been accepted elsewhere; but in the US, it's time has passed.

I strongly believe there is no perfect goal weight. I think the goal should rather be how you feel and how you feel you look. If you feel good and are happy with how you look, then you're at your goal. If you think you'd like to shed a few more pounds, then do so. If you feel like you look underweight, then it might be time to gain a bit. I would never recommend BMI as a guideline. A much better guideline would be % body fat, but accurate testing is expensive and not readily available. Keep in mind if you were obese for any length of time, your organs are likely bigger and your bones denser. This means you might look identical at 170 to someone that was never obese that weighs 150. Also, as most folks know, since muscle is denser than fat, the scale just does not tell the full story. There are people with a "normal" BMI that are carrying too much fat because they have so little muscle mass. I get it, especially for very goal-oriented people, they want something exact to shoot for, but when you think about all the above factors, picking a goal weight is just so random and almost certainly to be wrong for you.

You may have to reduce your caloric intake more. I’ve run into this problem myself. There have been times when I gained up to 20 pounds. I had to eat less regular foods and more protein shakes and protein in general. I’m not quite back to where I was, but I’m trying. Good luck!

I'm almost 9 weeks post-op and trying to figure out if I'm on track. I started my 2 week diet at 239 and was 223 the day before surgery. Since surgery, I am down to 204. (So much slower since surgery!) Here's where it gets tricky. If my goal weight is 155 lbs and I use my starting weight from the day I began my 2 week diet, I had an 84lb weight loss goal and am currently at around 41% of excess weight lost. But if I use my day of surgery weight, I had a 68lb goal and am at only 28% lost. This feels like a big difference. I've seen some sources say count your weight loss during the immediate pre-op diet, and others say no, don't count it. Are there any actual rules, or is everyone just making this stuff up as they go?

So I’m 3 weeks post-op with a gastric sleeve. My first disappointment was when the week before my surgery my doctor told me I wasn’t a strong enough candidate for bypass. Ok, fine. But then he wouldn’t tell me how much of my stomach was removed, he didn’t give me incremental goal weights or a final goal weight. 11 days post surgery I had already lost 14lbs, (beg wt on 1/24 was 270lbs, date of surgery 232lbs). I’m trying not to be obsessive about my weight so I’m weighing in every 10-14 days. That being said, I’m already feeling like I’m stalling in my weight loss and even worried about gaining already. Is this a normal feeling? I’m trying to get all my protein but usually fall short. I’m on “soft foods” but can barely get down a 1/4 of a cup of food. The rest of my intake is liquid. Has anyone else had these feelings? Should I bite the bullet and go weigh in? Thank you in advance for any tidbits and opinions.

Personally? Yes, I would have the surgery. Why? Because losing weight is only half the battle. Obesity is a disease. The vast majority of people will gain back all the weight they lose through diet and exercise alone within 5 years. Weight loss surgery changes your metabolism so that it works with you instead of against you. I knew from too many attempts to lose in the past that I would not be one of the lucky ones to lose and maintain on my own. Every time I lost weight, I gained it back, plus a few pounds. To address a few of your fears, I can say from my experience that my pain lasted about 5 days. I never took anything stronger than Tylenol once I was discharged from the hospital. My tastes have changed in that I now find certain foods are less pleasant to eat. More than a small piece of bread gives me an unpleasant heavy feeling in my belly. Very fatty foods will make my heart race a bit so I avoid them. Certain sweets like cake frosting and cheaper milk chocolates seem much too sweet and I don't want more than a bite or two. The adjustment period in terms of learning what you can eat lasts about 3 months, at least it did for me. Even after the first month, I was able to eat in restaurants. I just chose to split a meal with a companion and stuck with simply prepared items like a grilled chicken salad. I've gone on road trips, spent a few weeks away from home in hotels, and did just fine. I eat mostly healthy foods, I don't count calories, I get reasonable exercise but don't go out of my way for it. And at 50 years old and not quite 10 months out from surgery, after a lifetime of struggling with my weight, I am back to the size I was my first year of college and still slowly losing. I would do it again in a heartbeat.

Had gastric bypass surgery in 2012. I kept everything thing off until 5 years ago. Now, I'm steadily regaining all of my weight back. I stopped following the "rules". I want to get myself back on track again.