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high liver enzyme levels aren't uncommon the first year or so after weight loss surgery. Rapid weight loss is really hard on livers. Mine were high for about the first year, and I've heard this several times from others as well (including people from here on Bariatric Pal). My regular doctor was really alarmed by it, but the people at my bariatric clinic knew what was going on. They went back down to normal and have been normal ever since.

Many years ago (after a Jenny Craig diet) I had a few things taken in but they never fit right after. If you’re dropping down anything more than a bare single size, they really need to take the whole item apart and recut everything which is not always easy or inexpensive to do. Unless it’s something with just straight side seams, a simple waist band & is sleeveless, it’s not an easy fix. PS. I should have saved my money back then because of course I regained the weight I’d lost then & had to buy new clothes again. So glad to be off that rollercoaster now.

It will come off. You just have to be patient. I just wish someone had told me to expect it so I wasn't SO disappointed after surgery. The weight has come off very slowly for me, but part of that is a lack of mobility due to being bone-on-bone in both knees. I was supposed to have them replaced by now, but NOTHING in 2024 went as planned. My plan for 2024: January Remove lap-band Gastric Bypass Fall Be at BMI goal to have both knees replaced while my deductible is paid for after WLS My Actual 2024 January Removed lap-band only No gastric bypass due to complications from lap-band April Had Duodenal Switch surgery June Found out I was being laid off, last day – Oct 4 August Had lipoma removed from thigh (while deductible is paid for) September On wound VAC as incision did not heal from August surgery October Job and Insurance with paid deductible ends Start new job with new insurance Rest of 2024 Don’t get knees replace since: I just started a new job and it didn’t seem right to take time off as soon as I started My insurance deductible is no longer paid for, so I will wait until I start over again in 2025 And oh yeah, I’m not at the doctor’s BMI goal yet since I didn’t have WLS surgery in January as I planned. Here is hoping 2025 goes more to plan. 😊 Happy New Year!!

Good morning, good night for me teehee! First off, I totally get how frustrating this can be. It’s tough when you’re doing everything right and the scale isn’t moving as fast as you’d like. But trust me, this is completely normal after surgery. Our bodies go through phases of quick weight loss, then slow down a bit to adjust. You’re putting in so much effort—walking extra hours, doing yoga, eating super clean—and that’s amazing. Even though 1.5 to 2 pounds a week might feel slow right now, it's still progress, and it’s the kind that sticks! Remember, slow and steady weight loss is healthier and more sustainable in the long run. Also, don’t forget that with all the extra exercise, you’re probably building muscle, and that can make the scale misleading. Plus, little things like water retention or digestion can hide the weight loss for a bit, but that doesn’t mean your hard work isn’t paying off. As for carbs, since you’re following what the nurse suggested, I wouldn’t stress too much about changing it just yet. Carbs are important for fueling your body, especially with all the activity you’re doing. But if you're really worried, it never hurts to check in with your provider to make sure you're on the right track. You’ve come so far, and I know it feels like it’s slowing down, but your body is still adjusting, and this is just a phase. You’re doing all the right things, so trust the process and focus on how great you’re feeling. You’ve got this!

I’m not sure about in AU, but in US medical files sometimes still say history of obesity/Bariatric surgery so that bypasses a lot of issues when trying to explain why you need help losing regain or maintaining weight. Can others please chime in if they have any information about this? But either way if you can swing it, they are effective.

Excellent thread - thank you @JamieLogical! I got sleeved almost 3 years ago. I hit my goal weight well within my first year. I lost another 10lbs very slowly in my second year to reach a BMI of 20. I was absolutely thrilled - I had lost just over half my body weight and was well beyond wildest dreams territory after a lifetime of obesity. But I started to regain this year. Initially I thought it was just the classic '3rd year regain' of the 10 - 20 lbs that so many people seem to experience. I asked lots of questions here and was reassured by the answers. I hadn't really drifted *that* much off the path (I thought). However, I continued to regain with no let up and was getting really worried. I eventually reached 16lbs over my lowest weight a month or so ago. Finally, I decided to go back to absolute basics and see whether that might reverse the regain. Carbs had crept in a bit (NOT A LOT, honestly) so I started every meal with protein, ate veg next, and stopped all bread, rice, pasta, potatoes etc. Just as I would have 2-3 years ago. Guess what? I have lost 9lbs of that regain in just over a month. My current diet is pretty much strict keto and not hard at all. I totally agree that the tool is there, we just have to use it and not eat around it. I'm so happy that I caught myself before I regained much more, but I can also totally see how I might have undone much more hard work. I wish you all the very very best with your new loss. I suspect you'll greet every milestone with just as much joy as you did originally.

Thank you for your encouragement! Will definitely tell my husband and will check with my team before starting weights.

Congrats on taking the first step! As @FifiLux pointed out, the keys are really going to be reducing portion sizes and making good food choices. These will be really important after surgery, so getting started on them sooner rather than later is the right approach. By the way, fad diets like Low Carb and Keto may work for some people, but as you said, they don't work for you so there's no point going there. It's also really critical you don't try to make drastic changes all at once. What you need to focus on is one sustainable positive change at a time until it becomes the new norm for you. People almost inevitably fail when they make wholesale changes to their diet and activity level simultaneously. Also, If after implementing a particular change it still feels like a challenge to you, then keep at it until that one is just part of what you do. Once you get to that point, only then is it time to try to make another change. My suggestion is to pick no more than 2-3 things per month you want to change about your diet and activity level and start with the ones you think will be easiest first. Changing subjects a bit, let's do some math here. To lose 6 pounds a month, you'd need to reduce your energy balance by -750 calories a day. This can be made up of lower intake, greater activity, or most likely both. At your current weight, walking ~3 miles an hour would burn ~200 calories per mile. Thus a 30 minute walk would burn ~300 calories and an hour walk would burn ~600. Add in smaller portions of the same things you're eating now and 6 pounds a month will be easily attainable. Keep us updated as you progress and the smart folks here will be glad to help.

Late posting today as I’ve been to the gym this morning and thoroughly enjoyed myself 🥳 Hubby is off work this week so he came with me. We like going together as we both wander off to do our own things but touch base occasionally. Unfortunately there were couple of teens who enjoyed pointing and laughing but it didn’t stop me and it just made them look like a pair of dickheads, especially when others glared at them. I don’t know if they expected me to pass out within a couple of minutes of beginning my workout but I did over an hour so sucks to be you, kids…I did have a chat with a member of staff as to when the quieter times are (without teens as there were quite a few and they have no absolutely no gym manners) and he said before 3pm when the schools go back. Thankfully that’s this week so we will be back Wednesday afternoon to have another go 🙂 Of course it will be interesting to see what state I will be in tomorrow but I didn’t hammer it, just familiarised myself with everything again. I did have a protein shake when I got back home plus a hot bath with some Epsom salts in the hope of counteracting the worst of the aches and pains. Looking forward to trying some free weights to get some hardcore toning going on! Couldn’t today as the free weights area was busy. Went out for lunch yesterday and kept it relatively healthy. Gains from the past week or so have pretty much gone, which is good. I’d thrown on a pair of leggings and a t-shirt earlier in the week and hubby commented on the fact that the weight was coming off my legs and backside. I think his exact words were “you’re losing weight off your legs and arse love”. Such a way with words, what can I say?? Clothing does continue to improve fit-wise, so I'm happy with that. Granddaughters first day of school on Weds and her 5th birthday on Thursday so there will be cake this coming weekend when we’re there for her party. I can’t believe she’s almost 5 - time really does fly! Surgeons appointment coming up on Friday - eek! I think I’m as prepared as I will ever be for it. I’ve got over the initial shock re the speed of it and I’m now just looking forward to it. My mini food processor thingy has been delivered and I’ve downloaded a couple of additional Bariatric recipe books for my Kindle (all freebies, thankfully) I’m trying not to think too deeply about the puréed phase as none of it sounds appealing but I know it’s something that has to be gone through! 6 weeks isn’t too long in the grand scheme of things. Have a super week everyone 😉 Onwards and Downwards!

I know programmes differ hugely but my surgeon placed absolutely no restrictions on caffeine and I was hugely grateful. I have no idea whether there is good evidence that caffeine consumption affects weight loss after bariatric surgery but I suspect very much not. @GreenTealael do you have any evidence to share? I am a coffee, not a matcha drinker, but I know how much I valued those coffees in the weeks and months after my surgery. Might be worth drilling down into the actual evidence based practice with your team if matcha means as much to you!

For me the physical hunger is completely gone now. With my sleeve it was also gone but it did come back. It was around 6 months that it started coming back if I’m remembering correctly. It comes back for most people to varying degrees of intensity. The best case is that you take that time to really change WHAT you eat, not just how much because when the hunger comes back you will likely eat larger portions and if it’s less healthy food you will probably begin to gain. At least I did. With my revision I have changed what I eat entirely. I didn’t do this with my sleeve. I had just a few menu options so it’s no wonder I got board with it and started to eat off plan more often. This time I did research and found several healthy recipes to try and I found quite a few that I enjoy so I don’t get board at all. You may not recall but I have Bipolar and Anxiety. I have found that freezing some healthy meals has come in real handy at times when I am not up to cooking. I also am in touch with my surgical team more often for office visits as well as the support group meetings and those help tremendously. Post op I also had more frequent appointment with my psychiatrist and psychologist as well. I just asked for all of the support I could find because it is a lot of change which I don’t do well with but now that I am two months out and i have a little routine I am feeling better than ever. The exercise that I am finally energized enough to do has helped my mood tremendously and the weight loss and the social aspect of the group fitness classes have helped with my self esteem too. I have so much more structure and routine now which is actually really great for Bipolar. I am able to fall asleep at night and stay asleep and I wake up at the same time and exercise, I set recurring alarms for vitamins/food and I log my food with the Baritastic app and my fitness watch keeps track of all of my activity. I show all of that data to my NP at my checkups and she helps me make adjustments to my nutrition. You will probably see a nutritionist for food related questions but I had a newer surgery called the SADI and the nutritionist wasn’t very helpful with regard to the macros after I got back to normal food. As long as you are managing your mental illness, though, you should be just fine. Just don’t hesitate to ask for whatever help that you need in order to be successful.

OMG, see that size looks amazing on you and I really think that eventually it would on me but I know my brain just takes a while to get used to things and unfortunately I don’t have the time I would prefer. I think you guys have talked me into going for the smaller size though. I really do enjoy my yoga and I have wanted a reduction for years because of them just being in the way during activities, difficulty finding an adequately supportive sports bra as @SpartanMaker mentioned, back and neck pain and ill fitting clothing at any size because my breast are the last place that I lose weight so they stick with me. Volume wise I have only lost one cup size so far and I have lost 80 pounds!! I mean that doesn’t matter now because it’s gonna be all implant anyways in a few months but I’m just saying that I am over the big breast thing. At the same time when you’re used to looking at a pretty large chest for a decade I can imagine that a C cup is gonna look pretty tiny at first. My estimation is I will have like two weeks to get used to it before I start radiation and I’m pretty much locked in to that size. Then again, I will get used to it for six weeks I suppose because I will be flat to begin with. The radiation oncologist did say that it may be possible for me to go with like expanders for one cup size larger and then decide to put in the smaller implant so I intend to ask the surgeon about that at my preop appointment. Maybe I will actually be able to find a really good fitting sports bra and try jogging for the first time since my 20s!!

Just echoing what the two very experienced forum members say above. A regain in 2nd and 3rd year post op is almost the norm. Please try not to worry about it unduly. Your set point is the weight/body composition that your body wants to hover around. The video below is short and might help. Your set point gets lowered drastically by WLS. But - processed food raises it. Eating cleaner keeps it lower. Building muscle mass keeps it lower. Might those be things you can work on a bit? Lots of people focus on cardio and that's brilliant, but lifting weights or using resistance bands (even if you never do cardio!) can add another really significant layer to that. Do you or have you ever tracked your intake? If that has slipped just tracking again might make you aware of what you're taking in and what you're using up. I am saying this as someone just about 3 years post op who regained 16lbs this year. I personally wasn't happy with that because it didn't stop as others' seems to, so I lost 10lbs by strict keto and am now back where I want to be. I had dietary lapses I needed to correct too and am working on that. I had this surgery to stop dieting - I feel like I can tweak things to keep me where I want to be without that and that I've learned a lot by stepping back and really analysing my intake the last few months. Also huge kudos to you for thinking about this with only 9lbs on. Much easier to look at what you can change now, if you even need to do that, rather than further down the line. I wish you the very best.

It sounds like you’ve been through quite a journey, and it's commendable that you're taking such an active role in your health now. The feelings of frustration and sadness you experienced after your sleeve surgery are completely valid, especially considering how much effort you put into your lifestyle changes. Many people feel that the sleeve doesn't provide the same metabolic impact as other surgeries, which can lead to feelings of disappointment when expected results don't materialize. Your decision to pursue the SADI is a brave step, and it’s great to hear that you’re feeling more supported this time around. Finding healthier foods that you enjoy and integrating exercise into your routine are essential for long-term success. It’s understandable to have fears about regain, but it’s important to focus on the progress you’re making towards a healthier lifestyle rather than fixating solely on numbers on a scale. Setting realistic goals is crucial. It’s okay not to hit your ideal weight as long as you’re feeling healthier and more energetic. Remember that every step you take towards better health counts, and it's wonderful that you’re prioritizing your well-being over just weight loss. Celebrate the positive changes, no matter how small, and lean on your support network—they can be a powerful motivator! You're doing an amazing job, and your journey is inspiring to others. Keep pushing forward, and remind yourself that it's all about the journey to a healthier you! Thank you for sharing!

I found this statement interesting. Can you define what real hunger is for you? What I mean is what are you actually feeling? I'm not claiming to be an expert, but I sometimes think we overuse this concept of "head hunger" vs. "real hunger". I know I've been guilty of that as much as anyone, but i think we should keep in mind that much of what people call real hunger is also "in our heads". A better way of differentiating hunger signals may be to call them homeostatic hunger and hedonic hunger since these happen somewhat differently. While this is oversimplified, homeostatic hunger starts as a signal from our stomach by way of production of ghrelin, which in turn activates AgRP neurons in the hypothalamus. Simply put, it may originate when the stomach is empty, but it's our brains that tell us it's time to eat again. This is not something we actively control. It's the bodies way of trying to keep you from starving to death. Hedonic hunger on the other hand is your body seeking pleasure from food. We like to say this is the one we want to control if weight loss is the goal, under the assumption that overall calorie intake will be less if we don't "give in" to cravings. Here's the thing, though. While scientists don't fully understand what's happening, we do know that dopamine and endocannabinoid receptors are being activated in our brains. Interestingly, just seeing or smelling certain foods can trigger these same processes. I wanted to explain this because it wouldn't be wrong to say all hunger is head hunger. The good news there is we also can be in control of both types of hunger, since they are both "in our heads". In terms of your specific situation, I think it would be rare to already be experiencing a lot of homeostatic hunger this early after surgery. On the other hand, it's probably not unheard of. For me personally, I was really bad at understanding what true hunger felt like. As a former obese person, I hated feeling hungry and would rather feel the overstuffed feeling in my guts since at least then my brain would quiet down. I'm not saying I've got it mastered, but I'm beginning to understand that when I'm truly hungry, I have other things going on like feeling weak, feeling irritated, and/or having brain fog. The strong urge to eat that i sometimes feel without those symptoms is probably more just my brain trying hard to either seek pleasure, or keep me from starving to death.

I’m a little surprised that your doc suggested the sleeve if you’re already having esophagus problems. I’m not a doctor, but my esophagus hernia excluded sleeve surgery automatically. Yes repairing can happen the same day. Be prepared for recovery taking a little longer with a sore and swollen throat. Everyone looses weight and recovers at different speeds. Just keep thinking about how much you are improving your health and quality of life.

Three days until my surgery. I'm feeling anxious and I'm definitely not handling the stress very well! Shouting at DHL parcel couriers and my phone company over minor issues. I'm really ashamed of myself and I hope this grouchy time ends soon. I'm still worried that something will happen and my liver won't have shrunk enough or they will say I haven't lost enough weight or something. @Candace4283 well done on getting your surgery done! Wishing you a speedy recovery!

I agree with @SpartanMaker, @ShoppGirl. You can’t spot lose weight/fat. But be careful building muscle in your thighs as they could end up bigger. I have three pairs of slim legged pants I can’t wear anymore because they became too firm in the legs. Weight hadn’t changed. Pants still fit perfectly in the waist & around the butt but the thighs, and calves in one pair, nope. Waah! And no they didn’t shrink in the wash. (Remember when we used to use that as an excuse -lol!)

Hello, all! I had gastric bypass on December 29th, so I'm only 6 days post-op, but I hit my first personal benchmark of losing 20 lbs since my 2-week liver shrinking diet pre-surgery today. If you are a visual person who is still on your weight loss journey or are looking to gain muscle, I wanted to share an awesome FREE app that helps track your progress visually and automatically takes measurements for you. It's called Me°-Three-Sixty. (No waiting for a partner to take your measurements or trying to do it yourself while holding one end of the tape measure awkwardly in your teeth or armpit.) As you continue to take scans, you can compare two scan dates side by side, both visually and with measurements. The measurements are approximations from taking a front facing and side view photo, but as long as you are consistent in where you stand & distance from the camera, the progress will be the same but may differ from actual tape measure. I took a scan pre-surgery and then took another one today. The app calculates the change in inches and percentages between any two scans. You can also use the slider tool and see what your body might look like with a weight gain or weight loss up to a certain pound percentage. Anyway, I thought you might like to try it out while you have something to compare a "Before" photo and it can still be in an anonymous way. I also loved Baritastic app, so if you know of other awesome apps we could benefit from please drop them in this thread!

@pinkneymm@aol.com Another AOL account? Great, have you had it for a long time? I’ve always had mine. Anyway I’m on my 2nd week of pre op diet and having a hard time with it because I don’t know why?? I’ve lost a lb a day so far and my esophageal hernia started really acting up and it hurts to swallow anything. But other than that it’s great to already be losing weight. I can even fit into some clothes that I couldn’t before. My surgery is 10/21…really looking forward to it! Yours is not too far away! Yay!!! Best to you!

I absolutely can relate to this, and I so wish I could hug you right now. When I was younger (all the way until I had my son at age 20) I was thin and athletic. That's all I knew, that's all anyone knew of me. As I started to gain weight, the looks and attention changed. And I wanted to disappear. I saw the stares and looks, heard the comments and whispers and laughs. I felt every jab, every comment, every insult. Then I lost all the weight and I look like I did in high school again (I mean, like LITERALLY I do...so weird) and things have reverted back to the way they use to be. And it really hurts because I have something to compare it to. Definitive proof that I "fit in" and I'm "accepted" when I'm thin and fit society's idea of what beautiful is. And it makes me angry and hurt and frankly, pissed off. I have a really hard time accepting compliments from ANYONE who knew me when I was originally thin, and fat, and now thin again. It just doesn't feel genuine.

Congrats! Welcome to the post-op club! I will be 2 years post-op next month. I can't believe how fast the time has flown! I am now at 132 pounds and feeling the best I have in years. To be honest, I have not had many issues so far, the most difficult one being my hemoglobin and ferritin levels were down to 8 and 5 respectively back in February. So my nutritionist said I needed to start iron (nature's way ultimate iron) that and along with iron infusions for 5 weeks brought me up to hemoglobin 13 and ferritin 22. To be fair, I've been anemic most of my life, but a gastric bypass makes iron harder to absorb as it is. I have a membership to the YMCA. I dance and I love Zumba and Pilates. I've also started Vinyasa Yoga. My biggest chunk of weight came off last March after a 3-week stall. I don't have dumping syndrome as much. I like to stay active and now that I have way more energy it is doable. It's been a year since I'm off of CPAP. Prediabetes gone, A1C at 5.5. Inflammation is nonexistent in my lab draws. I love buying smaller clothes and I love this new me. Maintenance has been fairly easy, I keep in mind that I never want to be obese again.

Your weight loss journey is so inspiring! I can't even imagine myself being skinny right now—it feels like every time I look in the mirror, I still see the same person or even feel bigger sometimes. But hearing your experience gives me hope. I can't wait to fast forward to six months post-op and see where I’ll be. I know it’s a long process, but stories like yours make it feel possible!

So sorry you're having some doubts right now. I didn't experience this, but I want to ensure you that you will lose post-surgery. It would be physiologically impossible not to. I suspect what you're experiencing is simply variations in your weight due to other things. Keep in mind that your weight is made up of a lot of things, not just fat. As an example, I'll give you an illustration that's top of mind for me. As a runner, I track how much sweat loss I'm experiencing (to make sure I know my hydration needs), so I weighed myself both before and after my long run today. The difference was 4.8 pounds! I obviously didn't lose 5 pounds of fat, I mostly just lost a bunch of water weight. My point is that fat is just one part of our overall weight, thus expecting that the scale will always go down as we lose fat is a fool's errand. Even unexpected things like hormonal changes, macronutrient balance, and the amount of sleep you get can all impact what the scale says. Were I you, I'd just stop weighing for a while. The scale is not your friend.

Have you guys did Rucking what do you put in your back packs!! lol ...or do you use a weighted vest?