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I'd say it's unusual, but your weight can fluctuate for any number of reasons. Are you drinking a lot of salty stuff (broths)? Are you close to getting your period, if applicable? Are you under more stress than usual (duh)? Are you walking?

As others have indicated, there isn't a lot of difference, once beyond the first few months' transition period, between the two as far as eating and socializing. We eat out monthly with a group of DS patients (somewhat more extreme malabsorption than the RNY - no dumping tendencies but sometimes reputed to be worse on potential bathroom issues) and you can't tell who is who - DS, RNY, VSG or no WLS. There is a transition period the first few months or year where the body is adjusting to the changes, both physical and dietary, where GI issues are not uncommon (do a search for the Al Roker White House SHART story; yeah, he pooped himself at the WH.) The VSG leans more toward constipation for a while (RNY can, too) but that's primarily from the limited diet - lots of protein and minimal carbohydrate/fiber and fats to keep things moving,) Fiber supplements are the order of the day for a while, and probiotics can help with general adaptation of the gut. The RNY will be somewhat fussier on supplement need, all things being equal, to counter the malabsorption. That usually isn't a problem if people are reasonably diligent on such things, but can be problematic if one tends toward being overly casual on such things. Some things may not respond to normal oral supplements; infusions to maintain iron levels are not unusual with the RNY (or DS) but are uncommon with a sleeve. You may run into medication tolerance issues - NSAIDs are the most common class of drugs that are sited (a big NONO with the RNY, but a better tolerated little nono with the sleeve or DS) but one may run into other drugs during ones life that may be restricted with the bypass (some of the osteoporosis drugs come to mind.) Other things that may be of concern, particularly as we get older, that aren't specifically lifestyle oriented are some common medical treatments and diagnostics are off the table with a bypass - owing to the blind remnant stomach and upper GI, a number of common endoscopic procedures aren't available (they're available by normal surgical means, but not endoscopically.) You mention longevity, which I assume you are referring to longevity of weight loss or resistance to regain. From what I have seen over the years, there doesn't seem to be a significant difference between the two - people seem to be as prone to major regain problems with either, to a roughly equal degree. The caloric malabsorption of the RNY tends to dissipate after a year or two, so metabolically, one is left in about the same position as one who had a sleeve (though the bypass patient may have lost weight a bit more easily.) To get a significant difference in regain resistance, one needs to look into the DS, particularly the "traditional" BPD/DS. It has a somewhat different set of trade offs, but is worth considering (particularly since the bypass is so difficult to revise if it doesn't yield the desired results.) Good luck - lots to think about, and none of it is easy!

Hey all!! Today I had my first weigh in appt after the consultation. It sucked…. I did not lose any weight. The doctor thinks it’s because I’m either consuming too much protein or the type of protein. I was drinking 3-4 protein drinks a day due to my wonky job schedule. I’ve been drinking premier protein and protein2O. My doctor said that he’s noticed that the patients that drink the premier protein are either not losing or they are gaining. This was really frustrating being that I have been diligently working hard at losing weight. So I will now only drink 1 protein water and 1 protein shake a day. My questions are… what protein shakes are y’all drinking during the pre-op weight loss phase? Has anyone noticed an increase in weight with the premier protein? They keep pushing bariatric advantage, but I fearful because my stomach is ultra sensitive to some dairy things. im really trying hard to not get discouraged. I would help to hear others difficulties during this phase to know that I am not alone or weird. Thanks a lot. Trying to live a good life

5’6” HW: 295 lb Surgery Weight: 227 lb Weight at 6 month post-op: 150 lb Current weight 8.5 post op: 138.8 lb

Congratulations on your amazing progress. Are you able to describe some of your challenges that you think you will be able to manage with the help of a therapist? What are some of the issues within your weight loss / bariatric experience that you think will require work and extra assistance. Also, you mentioned the foamies... what is your general daily eating experience, and are you happy with how your current diet seems to serve your overall health (besides weight loss)? Your perspective is greatly appreciated.

I have fried foods on the regular and manage just fine (btw, im 3 yrs post op). Plus i think its delicious. There was a period (i.e., during weight loss phase and some months after) that it was just unappetizing…but then again most foods were. I still have my share of “healthy” foods (i do love me some salad) but fried foods - pan fried, deep fried, whatever - are definitely common items in my menu rotations. Everyone will have different tolerances and preferences towards all kinds of food. You won’t know how you will fare until you do. Good Luck! ❤️

Exercise actually has much less impact on weight loss than calorie consumption. There are MANY on here who don’t do a lick of exercise and still lose weight (but of course exercise is still strongly recommend for health and well-being…) Same goes for vitamins. Do you know what your daily average calorie intake is?

I’m 52, 5’9” and my HW: 275. My pre-op weight was 242. I’m currently at 195. My surgery was February 9, 2021. I feel like I should have lost more by now and I’ve been in a stall for about 6 weeks. I’m happy being down 80 lbs but I do understand the frustration of a stall. My doctor wants me to try to get to 163 and being stuck in a stall for so long makes me wonder if this is all I’m going to lose. I would give anything to be down a hundred lbs!!! I’m not giving up, though. Everyday is a struggle to stay on track but I do. I’m being positive that eventually those last 32 lbs will be gone. It just might take me longer than most given my age, being post-menopausal, and having hypothyroidism. Everybody is different and we lose at different rates. Keep your chin up and feel proud of what you’ve accomplished so far!💕

Thank you so very much for your reply! That is amazing and gives me so much hope and inspiration! Congratulations on your weight loss and your liver enzyme numbers - that is fantastic!!

Is normal to gain weight because I've been on my pre-op diet for 3 Days liquid diet and I have gained four pounds

I’m 4 weeks post op today and I’m 2 weeks away from turning 29 😁 My recovery has gone super well, I have just been tired but that’s to be expected! I mainly chose to have this surgery because I have struggled with my weight all of my life and had had enough of not participating in life and enjoying life as I should be. I also would like to become a mother and would hate to struggle to conceive (I know I still might but this should help at least), I would hate to struggle to keep up, or to teach my child bad habits with regards to food. Also, maybe a bit shallow, but fashion is one of my hobbies and I just 🥺 want to be able to buy affordable and cute clothing that really represent who I am! I did a lot of soul searching during COVID and I was finally able to acknowledge to myself that I was not ever going to get to a healthy weight and maintain without surgery. It was painful but liberating. I am the type of person that once I decide on something, it’s happening and I prefer not to wait a second longer than necessary. So off I went 😊! I’m down over 35 pounds now and I only need to lose 5 pounds more to weigh less than my husband for the first time EVER! I am excited 🥰

I've been on my liquid diet for two and a half days and why I gained 4 lb I was weighing 273 last week now I'm at 277 today

I am almost 3 weeks post op and I am 33. I decided to have the surgery because I was starting to have medical concerns due to weight. But In all reality I was uncomfortable in my body. I didn’t like to go out and do things because I was so bothered by it. I would dress up and feel confidant only to see my reflection and it would crush me. Or I would spend the majority of my time at a cook out or gathering overly fixated on my shirt being too tight or really anything. I want to get my life back on track. Even more important then all that I need to set a better example for my daughter and teach her how to eat appropriately.

I had my gallbladder out 6 months before my wls. Overall, it was a fairly easy surgery, but I found it more painful than my wls. I had much more gas pain with the gallbladder than wls, but I did have nausea and vomiting after my wls, which for me is worse than pain. As far as surgeries go, and I've had 7, I found my wls to be one of the least painful. Since a large amount of weight loss can cause your gallbladder to act op, it's actually good to have it out before surgery. I'm glad I did. It was one less thing to worry about. Sent from my Nokia 7.2 using BariatricPal mobile app

I have NAFLD. I also had my gallbladder removed and a liver biopsy at the same time which showed hepatic fibrosis (scarring). This was the reason I decided to get wls. The pre-op diet shrinks your liver to make surgery safer. Any weight loss you have before surgery should help. It has been 14 months since my wls and my liver enzymes are now normal. I have lost 179 pounds total. Sent from my Nokia 7.2 using BariatricPal mobile app

Hi Its been 14 months scince i had y@r surgery and my weight loss is just stuck on 108kg Had lost 23kg Any ideas on how to kickstart the weight loss Sent from my SM-N986B using BariatricPal mobile app

Five days post-op, so thought I'd update. My swelling/water retention has gone and my weight's now starting to drop. I never knew my starting weight before the pre-op diet. A year ago, I was 125kg, and I KNOW I had gained a lot more in the last 12 months and am pretty sure I was at least 130kg. My hospital admission weight was 127kg, then when I got home, the water retention and swelling had added 2kg! The scales this morning are 125kg. So It's a nice feeling to be losing at last! The slow steady march begins! My pain is a lot better, though I'm still taking my opioids as I'm still quite sore. My wounds are healing well. When I'm in bed I have to have a pillow clutched to me abdomen as protection from a certain giant Siberian cat that loves to jump onto me. So far so good, I've managed to steer him away without denying him cuddles. I still have zero appetite, zero hunger, and would honestly be happy to just drink water all day if I didn't have protein goals to hit. It's slow going, but am getting shakes and protein water down no problem. Everything my partner is cooking for himself SMELLS great - even porridge. "It's gruel, Oliver!" He said, but I can't help what my nose likes! That said, I don't want to eat any of it. It's an odd thing! I've become very sick of sweet things though. The protein water tasted nice to start with, but I've quickly become very tired of the sweetness, and even the flavoured protein shakes are borderline too much. Walking every day, energy levels are good.

NSV update - (plus a scale related victory 'cause i am so excited i can't help it) checking back in for September. THis month I have noticed... Sitting "criss-cross applesauce" is comfortable and I have so much room in my regular office chair that I find myself crossing my legs inside my chair while I work. I notice my period bloat. I never used to understand it when women would complain that their clothing felt tight because of period bloat, I mean - that is how I felt all of the time. Now I get it! I can't get over feeling and seeing my bones. The little bones in my wrists and feet, bones in my chest, my ribs, my jaw and cheekbones, and my wonky collarbone that I broke as a kid all amaze me. Sometimes I just sit around discreetly feeling my bones in awe. 😄 Ok, throwing in one scale victory, because it's a big deal for me....I hit onederland! I've now lost slightly more than half my excess body weight. It feels amazing.

Today is one month from surgery date. I am thrilled with my weight loss. I had been unable to lose any weight in the last decade, despite trying everything under the sun. My surgeon kept me on liquids for the first 3 weeks. I'm now on pureed foods, and am enjoying finding foods I can eat. Tonight I bought some of the Indian foods in a bag that are microwavable, and ate a tablespoon of each with some cauliflower rice. I don't feel deprived because I'm making it work. I puree things in my blender, and everything tastes amazing, lol, (after all those nasty protein shakes!). I'm really happy with my decision. Sent from my SM-N976V using BariatricPal mobile app

If you wanted to binge on something like ice cream or cake or something that goes down easily you could probably do it. It might make you sick but you could do it. You can also graze...and that's why most people gain their weight back according to my doctor. But with dense foods like steak or chicken or other proteins you are going to feel your restriction before you could binge or it's probably going to come back up if you ignore your cue to stop or you are going to feel miserable for a while! I would just stick to your guidelines and not challenge them, they are there for a reason.

My daughter had a RNY bypass up 2011 and went on to run over 100 marathons in a year… She loved it. She found she eventually tolerated the gels, although they wrecked her teeth! She ran most weekends until her dog pulled her over during a walk and she hit her hip and damaged the cartilege. She found she needed to eat almost every waking hour if she wasn’t running to keep her weight up. It was hard work managing as she also couldn’t eat much before she ran. Taking on fluids was the most important thing and she would need the salt tablets too. She was also a vegan at the time… It can be done!

I had my gallbladder removed about 10 months before getting sleeved. I gained about 38 lbs in those months and the weight gain didn’t seem to be slowing down so WLS was a must at this point. Comparing the two, I feel like I had less pain with the WLS. I actually asked my mom if she was sure they even did anything! 1. I didn’t need any painkillers after WLS, but I took them for about a week after gallbladder removal. 2. I’m typically a stomach sleeper and was also able to go back to sleeping on my stomach faster after the sleeve. 3. i only needed to sleep on a recliner for 2 days after WLS, but slept in a recliner for about 10 days after gallbladder removal. 4. Moving around was also easier for me after the sleeve, mainly because I felt like I couldn’t stand up straight after the gallbladder removal. 5. I was sleepier after the sleeve and generally had less energy the first week. 6. I had a bowel movement faster after WLS and going to the bathroom was easier in general. 7. TMI but I had sex sooner after WLS than I did after gallbladder removal. 8. Oh, my surgeon used my main gallbladder removal incision (the top one) so I only had 2 new tiny incisions for a total of 3 incisions for WLS. He felt like it was unnecessary for me to have more scars than I should so maybe that’s an individual thing that differs from surgeon to surgeon so I’d ask if that was possible. I only have the 3 WLS incisions visible and the gallbladder ones were so tiny they disappeared (you can only see them if you know where to look). So all in all I’d say my recovery from the sleeve was easier than the gallbladder removal, but of course that’s just me. I’m sure other people have it the other way around. Either way, you can do it! For me, the hardest step was actually deciding and committing to the WLS. Don’t worry, you got this!! Please feel free to message me if you feel like you have more questions or if I missed anything.

Don't forget that this effect of the surgery will only last for 6-12 months. You MUSt learn how to eat differently and not rely upon the surgical effect. If you are a sugar/carb addict (and it sounds like you are) please read this book: Food Junkies by Vera Tarman or Weight Loss Surgery Does Not Cure Food Addiction by Connie Stapleton,.

Sound right about boringly normal as well. You will lose weight at those levels but much, much slower than compared to before. Hang in there. .2 -.4 lbs lost may seem minute, but a loss is a loss is a loss. P.S. I know there are many on here that lost several lbs after plastics. I may be a minority, but plastics only shaved off 400g (0.88 lbs) from me. Though at that point i wasn't really concerned about the number on the scale but about the overall look of me....which I was/am totally satisfied with. Good Luck! ❤️