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Hi Marisol, Everyone is different, but I can honestly say that gastric bypass was never an option for me. Because: 1) It's a more dangerous surgery (more complications/risks possible) 2) It's permanent (unlike lapband) 3) Causes "dumping" and horrendous smells (by gas and/or "dumping") 4) Like any weight loss, if you don't maintain your lifestyle changes you WILL gain the weight back (but at least with lapband it's again not permanent, so your risks associated with weight gain are lower at least) 5) If you don't follow the proper diet (ESPECIALLY YOUR DAILY VITAMINS), you are really setting yourself up for serious problems (I have a personal story about a family member to back this one up - but I won't post it here to avoid upsetting anyone. If you want to know it, just let me know and I'll send you an email with the details) Anyhow - those are just the primary reasons I felt lapband was a choice and gastric bypass was not. Hope that helps.....

Today I am back on the blog after four years! I lost a total of 87 pounds and about 2/3 of that weight came off after the gastric sleeve in 2012. i wanted to give an update, a cautionary tale and maybe a not-so-depressing perspective of one who has not been a weight loss success. Busyness and stress has always been my enemy when it comes to weight loss. It often takes me by surprise and whisks away any structure and success I have built into my life. One day I am doing well and eating and exercising and then BAM! It all goes out the window. Even my house gets messy and cluttered during those times of extreme stress and time pressure. I work a job that is not just 9-5 so I take much of my work home, I work from home often and get extreme deadlines like grant applications etc. Before I initially lost weight before surgery, was a very busy time, but I put the accountability of a structured weight loss program into my schedule. This is the only way I initially lost 30 pounds at the beginning. I also started working out with a trainer. Although it is the cost of a vacation every year, I need it to be successful. When I had the weight loss surgery, I had quit my stressful administrative job and was in a window of time less busy (even though I was working). All went well with my weight loss after surgery (even though slow as was my history of weight loss) until I started a new job. Once the stress of the job was getting to me, I stopped the morning walks and began to eat more frequently and less clean. A bad case of pneumonia and 40 days of steriods, further put me back and I gained weight. Now, I am facing some serious foot pain from plantar fascitis, nothelped by weight gain. All this downhill trend happened as my career has blossomed. However, if truth be told, I prefer a healthy body to work success. Looking back, I am humbled by the setback and have felt moments of panic. However, something in me has shifted as I ponder my failure. All in all, I am still down over 50 pounds from my initial weight (228 from 282). Although the failure of weight gain from 194 hits me in the face, I have come to a gentler self-assessment and I like myself better than ever. I can now look in the mirror and feel okay about my curves. I lost a bit from my highest weight regain (240) although it has taken a year to take off. So, all this to say, count your blessing and jump back in. Love yourself in the process and never give up. If I had given up, I would easily be 300 pounds. I am now concentrating on getting back to the losing mode and it is workomg...slowly. Limiting to 3 small meals and 2 small snacks if needed, drinking a lot but separating from food, doing some exercise every day and finding joy in the process. For me, finding joy includes time with my loved ones and having quiet time as I pursue God in my life...I am even going back to some ballroom dance classes. Dance on everyone! I wish the best for all of you! Tell me your story...I love to read them.

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.

Calorie dense food eaten often combined with liquid calories. I could polish off a couple pizzas in a day if I felt the inclination to do so. It would literally take the entire day but I could do it. Add on a Starbucks milkshake that's almost half your daily calorie allowance and boom. Weight gain.

This is my story and Journey after having my bypass years ago-9 to be specific. It all started out with a huge hiatal hernia to be repaired. My surgeon recommend me to seek lap band surgery, as being overweight might not hold the hernia repair , and he told me it would be a real diservice to me if he did not advice me to do so. So, off I went to a weight loss seminar, and spoke with Dr. Gregory Schroder as to wether or not I would be a candidate. He felt not, as having the Nisson Fundoplasty could potenuate problems down the road. I so appreciated his honesty, and he mentioned a surgeon who performs gastric bypasses to see if I was a candidate. Immediately I was, despite my history of depression and chrohns.. So off I go. Oh I was told that there could be complications such as a leak, and nausea post op, but this rarely happends. I was also told to be very strict with my diet, because after three years, your puch my be stretched, and weight gain indeed can happen. I was very compliant. Weight loss very successful.Hoever, ther have been so many complications down the road. My surgeon left to go to Doctor's Without Borders, and has left the state. I ended up having immediate surgeery to remove my gallbladder 1 year later. Dr. Shroder's group did that for me. Three years post-op I had an open strangulated hernia repair- again by Dr. Gregory Schroder. I suffer from chronic nausea and vomiting. I have terrible painful lower cramps as well. I had a picc line 3 years ago, as my weight has drooped so low due to the nausea and vomiting. My weight has dropped as low as 86 pounds. I just can't keep the weight on. How ironic life is. You'd think how nice it would be to eat and not gain a pound, but it has become a curse. I could not work anymore in my favorite job as a PACU nurse, as I didnt have the strength to move the stretchers anymore, or the stamina. The excertion just made my weight drop even more. I can work , but can't do physical labor anymore. I want you to know I watch MY 600 POUND LIFE. My husband and daughter don't understand. So many people struggle with different things in their lifes. Life after surgery is a Journey in itself, and will always be. I so applaud those who share their stories, and know that the journey never stops. I share my story here, becaus gastric bypass is a serious surgery. I think people should really think about it instead of jumping on it right away like I did. Learn to love yourself. I know how hard it is to be overweight. Everyone wants a quick fix. I know I did. I wish everyone who does have the surgery much success. I will continue with my story as time progresses. Bless you all-CBT

It sounds like you have identified some options for yourself... going to to the hospital and having outpatient interviews, or waiting for an appointment with your PCP. These may not be your first or favorite choices, but I suggest you get both of those things going until you can figure out something better. As a psychiatric social worker, I can tell you that early intervention is the best thing for both Depression and Anxiety. Also, as for the weight gain that comes with some antidepressants, not all are created equal... talk with your whoever you end up seeing when you have your appointment and discuss this concern. There are lots of meds on the market that do not have this side effect. A good one right now that many people have lots of success with is Pristiq. In the mean time while you're waiting for your appointment (which I'm hoping you will schedule today especially since you've already identified might be a wait), please do some self-care and be gentle with yourself. You're just recovering from surgery. You're body and mind are in transition and that's no small adjustment. Allow yourself some grace. It's okay to feel overwhelmed at times, worried, frustrated, uncertain, however you feel. I'm so glad you reached out here. Keep talking to others!

Thx so much ladies. Well my story is not that far off from most. I gained most of my weight after I had my son in 2008. I am an asthmatic and have been put on steroids constantly which adds to my weight gain. I had lapband surgery done Feb 2010 and lost around 55lbs but gained most of it back. I have done tons of research on the sleeve and sleeve plication and now I am looking into having a revision.

I'm on the same journey. I had my lapband 14 years ago and 4 children from then on. I maintained weight at 125 for over a decade. But scar tissue and acid reflux problems caused me to get my band emptied in June and I have gained 33 lbs since June:( I had my endoscopy last Monday and I'm getting revision to sleeve on October 3. The rapid weight gain has been really hard and made me very depressed honestly. Keep us posted on your journey ❤️

My DH took it and it worked wonderfully! He was smoking 2 packs a day, then had surgery in May 2007. He decided it wasn't worth it to loose weight to be healthy, yet keep smoking. He has been smoke free since Aug 2007 and has no regrets. As for weight gain, he didn't have any, but he did start it after being banded.

What you're going through is completely normal. You had a major surgical procedure done, of course you're going to hurt! Some people don't seem to have much pain at all, but I really wondered what I'd done for several days after I had surgery. You'll feel better soon, though. I promise! Give it another week. As for the weight gain--you were pumped full of Fluid when you had surgery. Also remember that your body has gone through a major trauma. This is a time when you need to focus on healing, not on the scale. Your weight will go down, but your body needs to heal. And port pain? Again, normal. I still get port pain, unfortunately. *hugs* All normal normal normal. And it's also normal to be worried and wonder what's going on :blushing: Hang in there!

I had my surgery done by Dr. Pohl (Johnston, RI) back in 12/04 (I was 34)and had a couple of fills in the spring of 2005. The last office visit was.. lack of a better word, Painful!!! They spent 40 minutes stabbing my belly with a long needle trying to find the "fill reservoir", they couldn't find it since I had a lot of scar tissue. So I ended up having to reschedule and go to Roger Williams Hospital (Rhode Island) and use an X-Ray machine so they could find my reservoir and filled it. That was the last time I saw Dr. Pohl or his office, life got out of balance after that when I went through a divorce, job lose and almost a foreclosure in the next 2 years after that. It was a tough couple of years, I didn't bother with the fills, weight or even a diet, I was just doing whatever to get through life.. Now my life has been rebalanced, I have a wonderful fiancee, great job and I'm finally happy with my life! Now I want to get my weight under control and live a healthy life. I was at 301 (5' 8") when I had my surgery in 04 and got down to 230 in 05. Now, over time, I'm back up to 255, I was eating whatever and whenever I felt like, the stress was killing me and I wasn't exercising either. In time, I noticed that the lap-band doesn't really restrict anything anymore except for when I eat food quickly, it ends up getting stuck and I have to .. Well you know... I can now eat as much food I want without feeling full. For all I know, the lap-band could have stretched or worst, slipped. Do you think the doctor will help me start all over again? I'm not too crazy about Dr. Pohl or the Dr guy who did me fills with Dr. Pohl, but I need to finish what I started! Can I start over with another Dr (any suggestions)? Will I have any problems with fills with my new insurance (was BCBS now it's UHC)? I'm going to call Dr. Pohl's office this week and see what my options are. Anyone ever do this, go a few years without Dr. care and then go back? Any comment or ideas? PS this Forum is great, back when I had my lap-band in 04, there was very little info on it. It's nice to see other people feeling the way I did/do. Christian

The band was not designed to only drink your meals, you should still be able to eat solids before 5:00 pm..if you cant then I would say you are too tight and need a slight unfill, remember as little as having .2 cc's removed can make the biggest difference in you being able to eat solids but still have enough restriction to lose weight. Being too tight you are at a higher risk of slippage, reflux, gastritis, esophagitis etc... From the Inamed Handbook That may be helpful to you With the Lap Band system in place, you should be able to eat only small ammount so the food you eat should be as healthy as possible. Do not fill your stomach pouch with :junk: food that lacks Vitamins and other important nutrients. Your meals should be high in Protein and vitamins and low in carbs. solid food is more important then liquid food or soft food. The lap Band system will have little or no effect if you only eat liquid or soft food. It passes through the stomach outlet very quickly and does not make you feel full. Here is another excerpt form the book If the adjustment (fill) results in too tight of a stomach opening you could have a hard time eating most foods, sometimes this causes people to avoid solid foods. They may drink liquid meals or soft food meals and this may result in weight gain. A band that is too tight may cause reflux symptoms and can also cause frequent vomiting.

This is the approach that I use: I strictly avoid processed sugars. I have a sweet tooth and that is one of the major causes that contributed to my weight gain over my lifetime. I limit myself to artificial sweeteners (such as Splenda and sugar alcohols), to natural low calorie sweeteners (such as Stevia) and to the natural sugars found in fruits and milk. I had diabetes. That went into remission when I left the hospital two days after surgery and I have not taken any diabetic medicine ever since and my blood sugar levels are good. I test my blood sugar levels periodically. [Currently over 5 years post-op] I read the labels of all food that I consume. I look at the grams of sugar per serving. If it is above 5 grams, I look at the ingredients. The ingredients are listed in order by highest percentage, and if the first 5 ingredients contain processed sugar (in any of its many forms), then I avoid this food, like a plague. I also restrict myself to about one meal per day containing complex carbohydrates (such as pasta and bread). I also avoid all carbonated beverages. I lost 20 pounds pre-op solely on eliminating carbonated beverages from my diet and I will not go back.

Perhaps you need to weigh yourself less frequently if a 2.5 pound gain induces that much anxiety. You cannot expect to lose consistently each and every single week. Glycogenation is the prevailing reason for weight gain when you work out and eat minimal calories. Working out enhances our muscles' energy storage capacity. Active people need more fuel, so active bodies adapt by increasing the capacity to store glycogen, leading to temporary fluid gain. So you lose fat, but the progress you make is masked by water weight gain. You may have lost 2 pounds of fat the past week but gained a few pounds of glycogen or fluid in that time. In sum, stay off the scale and allow your body to work through the changes it's experiencing. Measure your progress by the looseness of your clothing, not by some arbitrary scale number.

After surgery, I discussed the issue of weight gain with my nutritionist. Her recommendation for those that have reached maintenance phase is to eat a balanced meal of Protein, carbs and fat. Immediately after RNY gastric bypass surgery, the part of your stomach that processes fats and sugars was cut away. Therefore if you ate fats or sugars, it would pass through your new rerouted stomach and into your intestines and you could experience dumping syndrome. But after about the first year, your intestines realize something is amiss and evolve to process fats and sugars. I feel fats are important in the maintenance phase because the goal in the maintenance phase is hunger control. One of the properties of fat is to satisfy hunger cravings. http://www.breadandbutterscience.com/Surgery2.pdf

Welcome Saqueen! and Congrats on your new band! How did you feel post - op and how long after were you able to start walking? I am looking forward to becoming more active, I used to walk about 4 mi. per day before my illness and weight gain. Also, I too have sleep apnea and can't tolerate the machine. I looked into other alternative treatments and none were acceptable to me, so I'm looking to the weightloss to resolve this issue (hopefully). Thanks for the 'good luck' and right back at 'cha! Any less pain with fibro is GREAT!

Imaducky, What do you know of certain astrological signs and weight issues. I've read that Taurus and Cancer have issues with weight gain, do you know anything about that? brandyII, (:smile:not looking for another excuse)

My name is Leslie, i've been obese since i was a little kid, i weight over 200 pounds starting in fifth grade, never really had any friends, kids were always so mean...but my family was worse......my own grandparents don't even have pictures of me up on the walls in their home, and they only have 2 grandchildren.....and pictures everywhere of my lesser obese cousin....it really saddens me when i visit them and see that....when i was 18 and graduated high school i decided i wanted to loose weight, i stopped drinking sodas, and ate alot less, and only once a day, and stopped eating sweets, and i lost 80 pounds, weigthed about 250, was able to fit into blue jeans that didn't have ellastic that was like the best feeling, but it wasn't good enough for my famiily, they told me i had to keep loosing, and not to eat this and not to drink that, and them harrassing me just got me down, my entire life they harrassed me on my weight and they couldn't have just been proud of me that i lost 80 pounds in only 3 mothes, so i got what i wanted out of the weight loss ( a boyfriend) and then started eating and drinking whatever i wanted again, and gained all the weight back, luckily not right away, it was about a year or so before it all came back, and as i was in and out of relationships the weight would come on and off, i'd loose weight when i wasn't in a relationship and gained weight by being comfortable in a relationship, of course most of the guys i went out with were also overweight so they liked sodas, sweets, and fast food restaraunts, not a friend to someone trying to loose weight.....but then i met my husband moved from san antonio to dallas after knowing him 1 week, and after 1 month living with him i gained 30 pounds, weighing 300 when i met him, we lived with his parents the first month, and they had sodas galore in their house, and all the sweets you can imagine, and every chip available, i love them to death but the temptations in their house are awful to someone who needs to loose weight, so yea i started drinking sodas again, before i met my hubby i was off sodas for a while, and the first 30 pounds came fast....then we got our own place and started trying for a baby, we weren't having any luck getting pregnant, i wasn't having regular periods, i haven't had regular periods since junior high, so after we married in nov we went to the doc to find out why we weren't getting pregnant, and after being treated horribliy by the obgyn telling us there was "no magic pill i can give you to get pregnant" those are her exact words, and not what we were looking for......we had tests done....found out i had a thyroid problem, but oddly enough i had the thyroid problem that affects skinny people, which happens to also be the thyroid problem that the meds you have to take are not safe to get pregnant on, so that left us with only one option, to kill off my thyroid and have me become hypothryoid....so that happened about a year after we met plus a few monthes, and i was bed ridden for about 3 monthes, in horrible pain after i had my throid killed off waiting for the meds to level off and have normal thyroid levels....i could barely move, my neck would cramp up my back would cramp up, it hurt to lay down, to sit up , to do anything so this was another 30 pounds added to my weight gain.....so now the biggest i've ever been in my entire life and can't do some simple things that i used to be able to do i'm so misserable.....then all the meds i'm taking to get my hormones in check to give me periods and to make me ovulate cause me to gain another 20 pounds......so now i'm really uncomfortable, i mean i was always used to being a big girl but 80 pounds on top of what i was used to being is ridiculous and so uncomfortable, i told my husband a few weeks ago if the clomid didnt work this month to make me ovulate that i want to have the lapband surgery, and of course the clomid did not work.....so i talked with my obgyn and she said having the lapband surgery would be a very good idea.....and go figure a week later and i have my first period on my own in probably about 2 years, my husband was thinking about trying just in case i ovulate on my own too......but i told him no, i decided i want to have this surgery, i don't want to try till after i have this surgery and get the ok to start trying.....it was just so depressing all those monthes trying and thinking maybe this time....and then getting a negative pregnancy test, i just want to feel like me again, and if i loose more then the 80 pounds to get me back to the "me weight" the weight i'm used to, then thats just an extra bonus.....

I had become very lethargic because of my arthritis and pain in my knees; which added to my weight gain. When I saw the orthopedic doctor, he said I HAD to lose weight in order to get my knees done and get some pain relief... I had thought about WLS before, but now I was even more propelled to look into it... I wish I had done this sooner. I have gone back to the orthopedic, who was VERY pleased with my weight loss and we are planning my surgery for the beginning of '15!!! Once that is done, I am hoping to be even more active and looking forward to pain relief in my left leg (first one to be done)... I couldn't have gotten here without WLS... the past year I have been maintaining with a 5 pound variable... tho I'd like to lose more, right now I'm just not active enough...BUT I have MAINTAINED for a year, which has NEVER happened with all my "diets" before this tool was "installed" LOL

I have complained enough about it but I am on the same path you are! I wouldn't wish this on anyone BUT in finding the bright side: 1) I went ahead and bought a new pair of walking shorts and capris (we're talking Kmart here so no big $ invested) because I know that I won't be out of them in 10 days like some people. And I am a thrift store shopper by nature so this was a big splurge as an atta girl for doing what I needed to do. I also bought 3 new tshirts from CJ Banks. Again, on sale, but they are ELBOW LENGTH!!! and with my flappy arms just what I needed. 2) As you said, it won't come back. I know some folks have rebound weight gain but this first 20 are gone forever. and 3) Here's my biggie. I did this on the DL. I AM SO GRATEFUL for that decision. I knew I would be a slow looser. I was only eating about 2k calories a day when I was "pigging out" so I knew. When I did Weight Watches I had to undercut my allowed points by about 1/3 to lose the 1 pound a week once I'd gotten past that first 2 or 3 weeks. That's the main reason I kept this private. I will admit that in 2001-2002 I basically went on a long term fast and lost and lost fast so this is going a bit slower than even I expected. But still, it's going. And it will eventually be gone. And I am so glad I don't have to be explaining to people why I'm not losing weight. The one friend I told asked me last weekend when I was going to have my surgery. :(Yep. After 2 week pre-diet liquid fast and over 1 month post op, she wondered when I was going to finally get it done! And she's been in Florida for 3 months and not seen me everyday so it's pretty obvious it's not showing yet! Hang in there. We'll get there too. We're just walking instead of running.

I'm going to share my positive experiences with having the VSG with the hope it will ignite a spark of optimism in you about it. Besides my mild state of panic about having the IV inserted (I have a completely irrational needle phobia and always freak out about them, no matter how much I promise myself I won't) the surgery itself was as smooth as it could possibly be. When I regained consciousness I actually was confused for a moment and thought the surgery hadn't happened yet because of the absence of pain and discomfort. The anesthesiologist had done a terrific job. My period started during the surgery, and it did feel like the cramps had been amplified that first day. I'd brought a heating pad with me, and that provided some relief along with the ample pain medicine I was given. I was slightly nauseous but that abated when they increased my meds a tad. I slept for a few hours, and then felt ready to start going on laps. I actually was told I needed to slow down my pace because I was feeling so well I just zipped up and down the hallway. I slept very well through the two nights in the hospital, and during the day would snooze when I wasn't walking or watching movies. I brought my laptop and a HDMI cable so that I could hook it up to the TV and my parents (my support team since my husband was working) and I could watch them. I had the surgery in Tijuana, Mexico, because my BMI was too low for my insurance to be willing to cover any of the costs, and the facilities exceeded my expectations. After I was released I felt energetic enough to go to the little touristy area and explore and shop, and then chilled out by the pool at the hotel. After we left Tijuana my parents and I went shopping at the outlet just over the border before making our two hour road trip back up to LA. We stopped at a couple of scenic places, and at Panera for dinner where I had broth. I felt completely comfortable the entire way, without being burdened by fatigue or pain. The only discomfort I experienced was from an allergic reaction to the tape used over the incisions. They caused tiny, itchy, angry welts. Fortunately they healed quickly. My recovery was easy. In a way it was even enjoyable because I gave myself permission to just lounge around the house and recuperate. I'd stocked my kitchen with Protein powders, popsicles, Crystal Light, PB2, broths, Jello, and the like before surgery, along with everything else I thought I might need, and put the house in order so I could just relax. The blog site "The World According to Eggface" has a great post about things to stock up for the liquid phase, and I recommend that you check it out. You can also find packing list for the surgery on YouTube and this forum. I binge watched Ray Donovan and all these other shows people had raved about but I never had time to watch, read books, and took gentle strolls through the neighborhood. I'm a professor, and I started teaching one month post-op with more vitality than expected. I was back on campus preparing for the quarter prior to that point. I think if I'd had another job a total of two weeks off - one for the surgery, and one for post-op - would have been sufficient. I'd worried I'd be lacking in stamina, but was already benefitting from the weight loss in that first month. I've increasingly gained energy, fitness, and confidence in the months since surgery. I learned about my appetite changes and got myself into an eating and drinking schedule during the time in between surgery and going back to work. I threw up due to having the VSG just once. I'd eaten something that was spicier than expected, and guzzled Water to try to put out the flames. That caused me to throw it up. I was really sick in December, but that was due to a virus that several of my students had, and I would have gotten regardless of having had the VSG. It was a week of misery, and then I rebounded. I'd been a tad bit concerned prior to surgery that I'd lose hair, have loose skin, and would look and feel aged. I'm grateful that none of those problems became a reality. I lost a tiny amount of hair around the four-month mark, but it was only perceptible to me. My skin isn't the least bit loose, and my scars have faded entirely. You cannot tell I ever had surgery. I'm in my early 30s and am now getting carded again, and confused for being a student. Strangers have paid me sweet compliments. I've gone from a size 14 / XL to a size 6 and am still losing. The shirt I wore today was an XS. I have PCOS and have seen an improvement in my blood work and symptoms post-surgery (no more painful acne breakouts that throb all night and make me want to hermit at home because they are so unsightly). This time last year I was incredibly self-conscious and would dread the thought of running into friends I hadn't seen in a while because I knew they'd notice my weight gain. I shrank into myself like a turtle retreating into its shell then. Now I am emerging, blossoming. I am actually living my life instead of just existing in it. I feel freed. I had mentally prepared myself to have "buyer's remorse" because I'd read that it was quite common, especially in the first month, but I have honestly never regretted this surgery. For every medical procedure there is, there is someone who has had a painful and horrific experience. Someone who has had everything that could go wrong go wrong on them. There are people who've died from having their wisdom teeth or their tonsils removed, from reactions to OTC medicines, from childbirth. And we're surrounded by risks everyday - cars, tubs we could slip in, food we could choke on. You have to look at the risks of not taking action, too. Obesity can shorten your life, and it can shackle you to health problems. The VSG is really a low-risk surgery if you chose a qualified surgeon and follow the guidelines given to you. Many of the problems people experience post-surgery have solutions to them. As an example, some people with acid reflux problems have felt better by taking a PPI. People who are very fatigued might have a Vitamin deficiency a blood test can identify, and then they can treat. I felt better when I increased my Vitamin D. You're likely to be able to make it over any obstacle you encounter, too. Hopefully you'll go for this surgery, and you'll benefit from it like I and so many others have. Best wishes to you.

I've suffered from severe depression since I was 15 years old. I was "normal" weight until I hit 50 and a succession of events contributed to a lot of weight gain. I had RNY and it has not affected my medication at all. Did surgery "cure" my depression? Not at all!! But I am at least physically healthier and can get around better!! One less thing I have to worry about!! My diabetes is gone, my high blood pressure is normal and they fixed my hernia. Don't let anyone tell you what you should do!! Only my son and one sister knows I had the surgery for the very reason that I didn't want the judgement or listen to the negativity!! Good luck!! To thine own self be true!!

After being banded 1.5 weeks, my doctor decided to move me from liquids to mushies. I was enjoying the great weight loss on the liquid diet and not getting hungry. I'm worried about gaining weight on mushies and solid foods. The doc indicated that I should be on solid foods my next appointment. Are my worries unfounded? He indicated I shouldn't worry about calorie counts, just recognizing feelings of fullness. I don't know what to think of expect.

they wont check the gym..atleast mine didnt i didnt even join a gym i just told them what activity i did and they documented it on my charts....that seems to be the key in approval....make sure that the nurse practitioner or pcp is just documenting u making the efforts to change ur eating habits and that ur making the attempt to be active.....i just told my pcp tht i went walking like 4x's a week for 30 minutes....and provided the doc office a food diary stating everything i ate....i still had a bad food atleast once a week listed ont he diary but i made sure to show healthy eating habits on the diary mostly... these insurance loops are to see just how serious the patient is in loosing weight if they're considering paying thousands of dollars...if i were u if u want to be approved stick to the doc visits but dont go eating super healthy and exercising hardcore...just cut back on the bad things now that u will miss when banded...that will atleast help u maintain the 40 bmi....i was exactly 40 bmi and i actually put on weight just to make sure i dont go below....kinda regret it now cuz i went overboard on the weight gain......but hopefully i will have surgery in 2 weeks....

Medical Policy Subject:Surgery for Clinically Severe Obesity Policy #: SURG.00024Current Effective Date: 11/18/2010Status:RevisedLast Review Date: 11/18/2010 Description/ScopeClinically severe obesity is a result of persistent and uncontrollable weight gain that constitutes a present or potential threat to life. There are a variety of surgical procedures intended for the treatment of clinically severe obesity. This document addresses those procedures. Position StatementMedically Necessary: Gastric bypass and gastric restrictive procedures with a Roux-en-Y procedure up to 150 cm, laparoscopic adjustable gastric banding (for example, the Lap-Band® System or the REALIZE™ Adjustable Gastric Band), vertical banded gastroplasty, biliopancreatic bypass with duodenal switch, and sleeve gastrectomy (open or laparoscopic) are considered medically necessary for the treatment of clinically severe obesity for selected adults (18 years and older) who meet ALL the following criteria: BMI of 40 or greater, or BMI of 35 or greater with an obesity-related co-morbid condition including, but not limited to:diabetes mellitus; or cardiovascular disease; or hypertension; or life threatening cardio-pulmonary problems, (e.g., severe sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy); AND [*]The individual must have actively participated in non-surgical methods of weight reduction; these efforts must be fully appraised by the physician requesting authorization for surgery; AND[*]The physician requesting authorization for the surgery must confirm the following: The individual's psychiatric profile is such that the candidate is able to understand, tolerate and comply with all phases of care and is committed to long-term follow-up requirements; and The candidate's post-operative expectations have been addressed; and The individual has undergone a preoperative medical consultation and is felt to be an acceptable surgical candidate; and The individual has undergone a preoperative mental health assessment and is felt to be an acceptable candidate; and The individual has received a thorough explanation of the risks, benefits, and uncertainties of the procedure; and The candidate's treatment plan includes pre- and post-operative dietary evaluations and nutritional counseling; and The candidate's treatment plan includes counseling regarding exercise, psychological issues and the availability of supportive resources when needed. <br clear="all">