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I had surgery (bypass) on Mar 5. I have steadily lost .8lb each day. I have written down every calorie and every gram of protein. My question is On Thurs I ate 400 calories and 75g of protein walked for 25min. On Fri I copied everything to a tee from the day before except 1 sugar free popcisle at night and my exercise was doubled but I gained 3.8lbs. Anyone explain the abrupt weight gain? Sat I went down 1.5lb (same) food intake but less exercise only 45min. I know alot of ppl stall at 3wks but this wasnt a stall it was a gain....

Awe hunny I'm so sorry for your endometriosis struggles!! Be glad you have time on your side though and please heed my advice, when you can... start your fertility journey!!! Do not wait!!!!! It can take some intending parents 6 months to get pregnant and it can take 5 years or even more!! If you try and try and decide on adoption that can take another 1-3 years to get a baby. I sort of always assumed "they have a pill for that" type thing and here we are encroaching on the dangerous stage of 35 plus and still struggling to have a child. Not to mention the Financials. Just for perspective IVF starts at 15K in Michigan here and only goes up. It's also not a guarantee you will invest and end up with a baby! Not trying to discourage you I just wish hubby and I would have started our journey a few years prior. I wish someone would have warned me. I thought I could lose weight on my own and save money for IVF but life got in the way and we achieved neither. It will be at least another year before we can even safely do an egg retrieval due to the sleeve so I'll be 35 at the youngest having a baby which starts becoming high risk and high chance of mental defects for the baby. So please stay strong, be positive but start talking! It never hurts to get a game plan with a fertility specialist even if it's for the future! There are great options too like gestational surrogates!! It's pricey but sometimes best for women who have serious conditions such as yours! We can chat here or you can PM me if you would like to speak more fertility related. We had been trying for an altruistic gestational surrogate but due to finances and other complications we still can't swing it so all things baby are on hold while I do the sleeve and we save $$. I also need the mental break. We may decide to adopt but I was adopted so it was not what I was hoping for... Sent from my SM-N910P using the BariatricPal App Thank you! I'm 7 weeks post op so we will see what the next year brings - hopefully good things for both of us! I have put off treatment like lupron because of the devastating effects on fertility. It's me constantly wondering what the right thing to do is. Fortunately, I am young but know I have to make a serious decision by 30. I wish you all the best with your WLS and fertility - adoption may not be your first choice but you'd still be a great Mom. Congrats on being 7 weeks!!! How did everything go for you?? Also what is Lepran? I've not heard of that. It sounds like you at least know your time frame. My husband is so sweet and supportive. Says he would love to have a child or adopt or would be perfectly happy with us and our pets!! Me? Not so much... I want my baby girl!! Thank you so much for your sweetness!! I lean more towards adoption every day but I just worry so bad of them emotional turmoil for our child but at least I could empathize having been through it too. We shall see!! What state do you live in? Michigan here. Just curious Sent from my SM-N910P using the BariatricPal App Everything went the sleeve went well. 45 pounds down in 7 weeks the downside for me was the d&c surgery I had to have once my hormones went psycho. Being put under twice in one month is a huge strain on your body. I live in Lake Norman, NC and the center for endometriosis care is in Atlanta so not too far from me. Lupron is the devil - horrible side effects including infertility (1/5 becomes infertile permanently) along with weight gain and worsening depression. It's a nasty drug. If they offer it, of course do your resesrch but I recommend running the other way! 45 lbs!!!! That's awesome!!!! Get it girrrrl!!! And thanks for the advice!! I will for sure say no to that one. Is it used with the bariatrix surgery or with endo treatment? Sent from my SM-N910P using the BariatricPal App

I'm really glad you got some Fluid removed. It sounds like you were definitely too tight. Here's a really great article Jean McMillan wrote called "Tighter Isn't Always Better". She explains why a too tight band isn't only dangerous but how it can hurt weight loss and even cause weight gain: http://www.bariatricpal.com/topic/161269-tighter-isnt-always-better/ My two year band anniversary is coming up in January but I personally haven't had any of those issues. I tend to be extremely cautious about my band and not over filling it. Thankfully, my surgeon is too. Best wishes.

When we are in the hospital for surgery, generally we can be administered antibiotics to prevent wound infection. This is not a bad thing. There are a lot of bad bacterial germs floating around in a hospital setting. Most surgical procedures do not require prophylactic or postoperative antibiotics. However, certain patient-related and procedure-related factors alter the risk/benefit ratio in favor of prophylactic use. Patient-related risk factors suggesting need for antibiotics include Certain valvular heart disorders Immunosuppression Procedures with higher risk involve areas where bacterial seeding is likely: Mouth GI tract Respiratory tract GU tract In so-called clean (likely to be sterile) procedures, prophylaxis generally is beneficial only when prosthetic material or devices are being inserted or when the consequence of infection is known to be serious (eg, mediastinitis after coronary artery bypass grafting). Choice of antibiotics is based on the Surgical Care Improvement Project (SCIP) guidelines (see Perioperative Management). There is strong evidence that standardizing antibiotic choices and adhering to SCIP protocols or another standardized and validated protocol reduce the risk of surgical infection. Some regions of the US that followed SCIP guidelines were able to decrease surgical site infections by 25% from 2006 to 2010. Drug choice is based on the drug's activity against the bacteria most likely to contaminate the wound during the specific procedure (see Table: Antibiotic Regimens for Certain Surgical Procedures). The antibiotic is given within 1 h before the surgical incision (2 h for vancomycin and fluoroquinolones). Antibiotics may be given orally or IV, depending on the procedure. For most cephalosporins, another dose is given if the procedure lasts > 4 h. For clean procedures, no additional doses are needed, but, for other cases, it is unclear whether additional doses are beneficial. Antibiotics are continued > 24 h postoperatively only when an active infection is detected during surgery; antibiotics are then considered treatment, not prophylaxis. The Center for Disease Control has published guidelines for prevention of surgical site infections that address topical and nondrug antiseptic measures (eg, bathing, sealants, irrigation, prophylaxis for prosthetic devices). Source: Prevention of Surgical Infections The antibiotics destroy not only the bad bacteria in the gut but also the good bacteria. Therefore I feel it is important to reestablish the good gut bacteria after surgery by using probiotics. I ran across an article this morning that discusses the relationship of gut bacteria and weight gain. While it has long been known that low dose antibiotics cause weight gain in animals, the mechanism by which they do this has been a mystery. Researchers are now beginning to zero in on the effect and their work may even shed light on the human obesity epidemic. Animals, like humans, have numerous bacterial species living in their gut. Believe it or not, there are more bacterial cells in our body than human cells. Of course, bacterial cells are much smaller than human cells. But their effect on our health may not be small. Some varieties of bacteria are more likely to cause the body’s immune system to swing into action, but usually different bacteria keep each other’s multiplication rate in check by competing for the same food supply. But if the bacterial balance is upset because an antibiotic reduces the numbers of one species more than others, an inflammatory response can occur. Such a response is linked with making our cells less sensitive to insulin. “Insulin resistance” means that glucose is less likely to be taken up by cells, and since it is the cell’s main source of energy, they crave an increased intake. This translates to a boost in appetite as the body strives to meet cellular needs. What all of this suggests is that some species of bugs in our intestine may contribute to weight gain more than others, and that these may become more prevalent when competitors are reduced by antibiotics. Of course, other factors may also play a role in altering the bacterial flora. The chlorination of drinking water as well as improved sanitation may influence both the type and the number of microbes that reside in our gut. Who knows, perhaps all that emphasis on getting rid of germs may be affecting our waistline. Is there any actual evidence for this postulated link between changes in gut bacteria and obesity? In one word, yes. When Martin Blaser, a microbiologist at New York university, fed infant mice doses of penicillin comparable to those given farm animals, he found that after 30 weeks these mice had put on 10-15% more weight than those not treated with the antibiotic. Furthermore, the mice that had been treated had a different microbial flora in their gut, with Lactobacillus, one of the “good” bacteria, having significantly decreased. When gut bacteria from these mice were introduced into mice had been bred in a totally sterile environment, and were therefore germ-free, they put on more weight than mice with the regular complement of microbes in their gut. While overconsumption of food is the crux of the obesity problem, one of the reasons why we eat too much, as we have now seen, may be due to the changes that have occurred in the microbial population of our gut. A study of ancient feces from caves, as well as from the intestinal tract of mummies, has revealed a microbial makeup that is quite different from that found in our guts today. Those ancient microbial populations are more similar to the ones found in chimps, gorillas and children in rural Africa than in the intestines of North Americans who are more likely to have been exposed to chlorinated water, antimicrobial cleaning agents and antibiotics. Maybe a partial answer to obesity is to repopulate our intestines with the bacteria found in ancient poop. Source: Bugs In Our Guts

Congrats on 105! Glad you’re doing therapy to help with binge eating. Are you looking at pouch rest for a weight gain? or behavior change? Pouch reset is basically going back through your food progression. (Liquids, soft and real food) It may help with surgery restriction. Some feel it’s too restrictive. Some go back to real food basics. Months/years out, you can consume more food. This is normal with the sleeve. (it has not stretched back to normal size) It's unnerving when you experience this for yourself. Weight gain seems easy. losing is slow. You may have less body fat to burn. This will make weight loss slow. Finding strategies to fill/satisfy your new sleeve compacity. It’s important to log and stay within your weight loss/maintaining calories and macros. Eat dense protein Eat as much veggies as you want until full Carbs and sugar will make you crave more of the, Keep healthy sweet and salty options on hand. Get temptation foods out of the house. If you crave pizza, Make healthy pizza. Find healthy recipes that you enjoy. Join a weight loss challenge

@Kristinqtpie Congrats on your surgery date. Only speaking from my experience with the sleeve. I’m almost 5 years out. Hunger is a different sensation after surgery. First out from surgery your hunger may feel less. Understand that surgery does not take away hunger 100%. You will still experience it. Hunger is more manageable post-surgery. You will have a new sensation of full. You will learn to manage real and head hunger. What sleeves should know as you progress out. Our pouches are banana shaped. (Other surgeries are egg shaped) Expect that your restriction will become less over time. ( It has not grown back to full size) You are not doomed to gain weight. Many mistake less restriction with stretching (Stretching is rare. Get it diagnosed by your surgeon) With your extra stomach room, there is no reason to eat extra calories and gain weight. You can still eat food without going over your weight loss/maintaining calories. Many of us are willing to share strategies to help with hunger and extra sleeve room. Grazing / eating around your surgery can happen to any type of bariatric procedure. Eating small meals frequently that total over your weight loss calories and macros. This can be in a combination of healthy and unhealthy foods. The sensation is as if you never had surgery. You will gain weight. Many of us fear weight gain. Work your plan. Dont be afraid to ask for help if you do experience a gain. Best of luck to you, Jenn

Sounds like we are all in the same boat, somewhat. I don't have grandkids but I do have an eight year old and a twelve year old who are very active. I hated that I could not be as active with them. I feel like I have not been living my life the past ten years due to the weight gain. I am definitely looking forward to being able to enjoy myself again!

Pretty common sense stuff, but I thought this was a good distillation of a lot of common themes from threads across Bariatric Pal. http://www.everydayhealth.com/news/ways-avoid-weight-gain-after-bariatric-surgery/

I've gained 14 lbs. Preop surgery will be delayed from June If I don't lose weight. Ive sincerely been trying. I have I'm so stressed with other health issues now trying to make a good choice to have surgery and I'm so upset with myself.

Have a question for all of you, How do you approach someone, nicely, they need to loose weight? Or even better, How could someone approach you that you have gained weight? This could possibly be related or even unrelated to WLS surgery. I am asking this because, apparently, most if us are upset that someone mentions to us that we or a person have gained weight. Could it possibly be that we might care about this person, and do not want them to have the health issues which go along with weight gain. So we try to say something, yet when we say something they are hurt and eat to sooth themselves? I've noticed that many of us do not like to hear that we have gained weight. So how does one approach us, without us being offended?

So I got the news I'm expecting. I thought I was done having kids but I guess god has another plan. I am a little frustrated because I don't want to gain weight back but at least it is for a beautiful reason. I am 6 months post opp but I'm 10 weeks pregnant. With my surgery and previous weight loss I've lost 110 pounds. So far I have not gained anything but haven't lost. I'm exercising everyday and doing Zumba and walking. I did a 5k recently too. I plan to keep working out because I only want to gain 20 pounds and thats what my dr said too. I know that sounds crazy but I think this week I dropped a few pounds do to morning sickness too. So my question is what is everyone's weight gain with pregnancy stories....????? (:

Hi congrats on the surgery. Yes a little weight gain is totally normal! They pump you full of fluids and you retain water during surgery. I’ve had 2 kids and 5 surgeries and it happens every time to me. Focus on healing and your plan to success and that water weight will balance off.

Katie, Im glad you asked this. I havent taken the pill in MANY years, and recently considered getting back on it - due to other reasons then birth control. But Im worried about the weight gain that the pill has a reputation for doing. Im anxious/curious in knowing what your doctor/pharmacist says about your weight LOSS instead of gain. This is new information! Im like the others - history of the pill has led to gaining, not losing.

I was diagnosed with pseudo tumour cerebri about five or six years ago. I felt humiliated because You know your fat when the eye doctor tells you to lose weight. It always worsened with my weight gain and improved with any losses. I am now 145 lbs at 5"3'. No more symptoms. It has completely resolved. I had gastric bypass jan 2013.

Your rate of loss always slows as you get closer to your goal weight. You can always depend on that. The heady high rates of loss you experience at the beginning don’t last. You can also stall any number of times along the way. The small weight gain you are seeing at the moment could be related to your health issues or it could be your natural weight fluctuation becoming more noticeable as you get closer to your goal. It could also be your body resettling after your holiday loss & getting you back to where you would have been without the holiday. I’d go for option D - stop panicking & let your body catch up & I’d also add wait for your health to improve. Doesn’t hurt to do a check of your food choices, portion sizes, calories, protein & fluid intake, etc. Though you may be currently struggling with food, there may be something you are missing or could tweak to keep you closer to your plan. All the best

I put on 2 pounds and i'm so upset with myself. I took my butt to Shapes today and worked out for 45 minutes. I thought going back to work would help me not think of food all the time and help lose weight. I called and moved up my first fill to the begining of April instead of the end of April. I hope that helps.

Hi, I'm a 46 yr old divorced female, bande in May 08 who has lost weight, gained, lost weight and gained weight since. Looking for someone for support and who understands the uneven and long process.

I have a hiatal hernia now pre surgery. Usually weight gain contributes to the development if a hiatal hernia not the other way.

Correction, ignorance is weight gain LOL

Leah, If we look at the biology of pregnancy, we'll find a lot of weight gain is from evolution to help human mothers survive the stress. The baby weigh only a few pounds but the mothers weight goes up 3x the baby's weight. The mother builds up another half gallon or so of blood to help her not bleed out during birth, she'll hold more water to help keep nutrients flowing, growing and thickening uterus adds a couple pounds, breast tissue swells, etc. You're getting some things that will probably not go away quickly. Welcome to one of a thousand headaches of parenthood. Don't freak out. Kids are stressful enough. Eat healthy and as much as you need to stay sharp. At 3.5 weeks your hormones will still mess with your weight. Worry about losing the weight when you feel good. -EQ

I have a gastric bypass RNY the following Thursday (22nd) and I've been on the pre-op diet for a week. I'm starving hungry too and also feeling anxious about the surgery. Covid means I have to go to the hospital on my own too and no visitors for the 2 nights I'm there - I agree having to be on my own is very daunting. I'm just trying to hold it together by reminding myself why I'm doing this - steady weight gain, yo yo dieting for years, high bp, arthritis, pre-diabetes. If I postpone it now, all routine ops here might be cancelled till who knows when if covid accelerates more, so I think as my decision is made, it's best to just do it now. Good luck!

Same here! I've been pushing myself at the gym a little harder as of late. I was surprised to see the scale move up a few pounds. I tested my body fat and measured my waist size and they both dropped very nicely. You can increase your muscle, which will increase your weight slightly. This type of weight gain is healthy and awesome

I would be shocked if a weight gain of 2lb caused and issue with proceeding with surgery. I mean, I have some winter boots that weigh much more than that! I'm not sure about your surgeon's policies by at my office, generally, the insurance company would only decline to cover if you had a large weight loss with lifestyle changes and they determined it was no longer medically necessary. However, the policy for my surgeon, was that you needed to have a small weight loss, and no large gains in the 6 mo leading up to surgery to ensure you were willing to participate in making the changes to help surgery be successful. 2lbs would not have been a factor for either of those situations. Not sure about the cutoff weights, but one man in my group lost 70 lbs prior to surgery and his insurance still covered it. Another woman gained 20 lbs during the pre-op program but then lost 5 in the month before surgery - she still got to move forward as well. You can do this! And I don't think you need to take any extreme actions over the 2 lbs. Just work your plan consistently and you'll do well. Good practice for post op, too! We're all rooting for you!

I was loosing too much weight and got sickly (ER visit where had potassium infusion and fluids) [band was too tight, too] I vowed to eat more. So I've had juices, cheeses, fruits and some Peanut Butter and 2 weight watchers meals. From 125.9 to 129.9 in just two days. My plan is to lay off the juices and go to Water next week but I really need nutrition. I think my body is just in emergency mode and trying to store all my foods for energy. Anyone have this happen- rapid weight gain when eating low sugar/low fat foods? What should I be eating instead of fruits and dairy and Protein?

Hi Chris! I too have Aetna (PPO) and I called them a week ago and they sent via email, a list of what will qualify in order for them to approve the surgery. Just give that number on the back of your card a call, and the rep can help you. mine was very helpfull. unfortunately, i can't relay the email to you because it's secretly coded via aetna lol. but yes, their main requirements is that 1) you have a BMI over 40 or 2) you have a BMI of at least 35 with any of the following co-morbidities: --sleep apnea --coronary heart disease --hypertension (greater than 140/90) --type II diabetes aetna also requires (under my plan anyhow) at least 2 years of documented weight gains/loss and documentation from PCP. or any of the documentation from weight loss programs (jenny craig, ww, etc). i heard from my doctor that aetna was one of the better insurances to have because generally we only have to undergo the 3 months of supervised diet/education vs. the usual 6 months others have. so call that number on the back of your card!!! good luck!