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That's my biggest fear and that's why I'm in various bariatric groups. I do not want to gain any of this weight back! It was hard work getting it off 😩😩😩

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

it took me 4 months (and ~15 lbs) to figure out my maintenance calories were. i also had to get over my fear of gaining all my weight back and actually start eating MORE. maintenance level calories are VERY individual, and vary greatly from person to person. and even then, it varies greatly form time to time for the SAME person. 4-ish months after achieving goal, i finally figured out that i needed 1800 cals a day to stop losing weight... AT THAT TIME. over the years, this amount has changed depending on my activity level. luckily, i am anal and i track my food intake and weight DAILY so i am armed with data to figure out what i need at any point in time. i am 6 years post op now, and these days i need about 2300-2500 to maintain my current weight (i exercise alot). had i continued to stay at 1800 cals from the before days i would have shrunk beyond what i wanted. soooooo....long story short: your maintenance calories will change depending on your output and input, on your sleep patterns, overall health, stress levels, age, genetics, etc....its up to you to notice what affects you and act upon it. so, so, so, so, many times i read folks on here saying "i gained/lost weight and i just don't know why!". the answer is PAY ATTENTION....you will know why. P.S. i do know that "normal" people don't need this level of attention to stay at a healthy weight. i also know that i am NOT a "normal" person. i mean, i got to a BMI of 43 (from BMI 23), in 10 years. it takes more "effort" for me to stay at a healthy weight that a "regular" person. so i do what i am willing to do.

this is pretty much it. i lost weight at a consistent rate until i made efforts to stop (i lost roughly 10 lbs a month from months 2-7...and while months 1&2 had larger drops, they were not indicative of my average rate of loss). i lost another 10-15 lbs after that over about 4-5 months trying to figure out how much exactly i needed to eat to keep me at a constant weight without gaining nor losing (which honestly is harder than losing weight man) i finally sorta stabilized at 115-120 for the next 4 years. basically i stopped losing weight when i started eating enough calories to sustain me and my lifestyle choices. now here's kicker: i am now 6 years post op and recently lost about 10 lbs in 2-ish months, again because i was/am eating less than i am expending. so i guess i'm saying it doesn't matter how far out you are, you can still lose weight if you are at a caloric deficit for YOU and YOUR lifestyle. ...and the only (easy) way you can really determine if you are in fact in a caloric deficit is if you track your intake and compare to your weight/body composition (which you'll have to track too) over time. but i get it, this is not for everyone...just offering a strategy that has worked for ME all these years.

I made a post about being on semaglutide shots. There aren't working as I weighed at the weight doc's. and I gained 4 pounds since last month. I don't know what to do. But I will be honest. I have eaten nothing but a crispy chicken salad from the Publix which last me for 3 days since I still the restriction with the shots and surgery. I am over year out from surgery. My salad had peppers, cucumber, cheese and tenders with ranch. Only sugar drink I drink is sweet tea no sodas. What am I doing wrong? What should be eating. Dietician aren't helping.

Because restriction isn't everything. It's easy to eat around your restriction. Restriction doesn't stop hunger, or food noise, or just wanting to eat food that is delicious but calorie dense. I had 20# of "good" regain. I got too thin after WLS, and I didn't like how my body looked at that weight. The normal bounce was good for me, and is what I've found to be my ideal weight. Over the last 3.5 year I slowly gained weight. At 20# over my ideal weight, i didn't like what I saw in the mirror. So I got on a GLP routine and quickly and easily dropped the excess weight. IME, GLP's are going to be revolutionary. I'll likely use them as needed to regulate my weight indefinitely.

i wouldn't worry too much about a 3 lb gain over 10 days, especially if you haven't drastically changed your eating habits and/or activity level. maybe if those 3 lbs are still there a month from now, you can do some re-evaluating, but until then, TRY not to stress (yeah, i know easier said....) case in point: 3 nights ago, i weighed myself and i was up 5.2 lbs. now i don't usually weigh at night, and i hadn't pooped in a few days, AND i JUST had dinner, AND i had a super extra-salty vodka caesar. then yesterday morning, i was a little over 1lb less than my "normal"...(i pooped! lol, and it was morning, my usual weigh in time). i didn't eat less nor more, i didn't exercise less nor more either. long story short, our weight will fluctuate (sometimes by alot) day to day. what matters is your average weight over time (and not over 10 days, but over months) good luck! you are doing great ❤️

I wish it were that simple, but it's not. We have to keep in mind that our weight is made up of a lot more than just fat. There are multiple body composition models used, but the one I recommend most people use when trying to lose fat is a 3 compartment model that consists of the following: Fat Muscle Bone I recommend this one since it's easy for most people to visualise those 3 components. Keep in mind however that roughly 70-75% of muscle mass is water. Why is that important? Because sometimes we can be fooled by the scale into thinking we're not losing fat, or that we're gaining fat when we're not. Most likely, what you're seeing is simply changes in water weight. A really common scenario is for people on low calorie diets (like most people here), to see a plateau and think that means they need exercise more and/or eat less, but when they do that, they actually gain a bit according to the scale. The reality is they didn't gain fat, they retained more water. I think it's important to keep in mind that we all have something called a Basal Metabolic Rate (BMR). This is the minimum number of calories your body needs simply to stay alive. It can be thought of as the number of calories you expend per day even if you were completely sedentary. BMR is a complicated subject, but on average, the bigger you are, the higher your BMR. Yes, it goes down as you lose fat, since fat is not completely metabolically inert, but fat loss does not have nearly the effect on BMR that losing muscle does. This is one of the main reasons bariatric patients are told to focus on protein intake because protein is needed to help prevent excessive muscle loss when dieting. More muscle = higher BMR = faster weight loss, or being able to eat more at goal weight The average BMR for women is ~1400 k/cal per day. Higher if you are taller or more muscular, lower if you are shorter and/or have lower muscle mass. Men, for obvious reasons tend to have a higher BMR that's more in the 1700 range. My point in telling you all of the above is that it's highly unlikely that someone eating 900 calories a day needs to eat even less if weight loss has stalled. Frankly, if that is the OP, then I'd actually recommend exactly the opposite: try upping your caloric intake a couple hundred k/cal per day and see what happens. I know it seems counter intuitive, but your body is not a simple machine where the calories in vs. calories out paradigm actually works. Happy to discuss more and provide additional info, but this post is already overly long. Best of luck.

Dr Matthew Weiner is a great resource so am glad @NickelChip recommended his video. Another is Dr John Pilcher also a great source of information. It’s not really about popularity or the most performed but about which surgery is best for you. Your surgeon should really take into consideration your current health status and history, your weight loss and gain history, your current weight and how much would be beneficial for you to lose, etc. Also discuss the possibility of side effects like malabsorption, dumping, reflux, regain with the surgeries and what you might be willing or not to live with or manage. Do your research, watch these videos and others they may have and prepare questions to ask your surgeon. If you don’t think they’re as comfortable doing one surgery over another or you don’t feel comfortable with their responses, seek a second opinion or a referral to another surgeon. And remember there are other surgeries beside sleeve and bypass so look into them as well (Sadi, duodenal switch,, RNY, or a mini bypass). I would avoid a gastric balloon or gastric banding but that’s my opinion only.

Semaglutide (and other various GLP-1 agonists) effectiveness can be dose dependent. 4 weeks is likely not long enough to see changes especially if you are still at the starting dose. Here’s a link with some decent easy to understand info: https://www.richlandmd.com/cosmetic/semaglutide-dose-for-weight-loss/ Also these meds are used in conjunction with lifestyle modifications. According to a meta analysis reviewing multiple trials “We observed that aside from the administration of semaglutide, reduced calorie diet and increased physical activity were also part of the intervention. Hence, semaglutide alone probably will not be able to achieve an 11.85% weight loss” https://pmc.ncbi.nlm.nih.gov/articles/PMC9758543/ Take a look at your early post op diet plan and give that a try again. If you didn’t have one, I can share that mine was protein forward (80g minimum) with minimal carbs (under 50 g and mostly complex) and low fat (20g) and almost no calories from drinks unless they are protein shakes. *edited to add: These meds can cause constipation so any weight gain could be due to that You really should consider checking in with the prescribing/administering physician to ask about your progress. Best of luck!

I'm 60, but I think you may be asking the wrong question? Although safety is a potential concern at any age, this is something only your surgeon can properly determine. I can say plenty of people in their 70's have had bariatric surgery. I think the real question should be: what are you expecting to be different this time if you have a revision? Would it still be worth it to you if you once again gained all the weight back? In my opinion, the fact that you've gone back up you your pre-surgery weight means that there are other things going on here that you need to address first. If I had to guess, I'd think there are 2 things you need to address before considering revision surgery, GLP-1 meds, or even fat loss diets: Your mental health. My personal opinion is that the virtually all obese or formerly obese people suffer from an eating disorder, or at least disordered eating of some sort. If you don't address this first, you're really likely to out eat any revision surgery you may have. Your activity level. The fact is that most people that are able to successfully lose weight and keep the weight off (surgical or not), are really active. In fact, some studies show that formerly obese people have to be even more active than someone that was never heavy to maintain the same bodyweight. The reasons for that are complex, but if you don't address this, the likelihood of at least regaining a significant amount of weight are pretty high. Best of luck whatever you decide.

Same! I worry about the extreme sheet of ice, not just a slippery slope but a full out avalanche watch me tumble and break my neck covered in powdery snow buried in the gaining the weight back full on Mount Everest climb slope!

In one of my groups I'm in a licensed therapist on the baratric team stated when we see ourselves gaining again, go back to the beginner basics the way we treated our bodies right after weight loss surgery: Go back to those high protein meals/ veggies getting full on that and not snacking and indulging. That stuck with me.

Hello, in 2020 I had a sleeve did well lost 100lb. In 22 I got sick and ended up with prednisone shots which made me gain weight. 50/100 that I had lost was back but any how now I’m scheduled for the sedi on 10/24 . Just wanted to get everyone’s intake in there experience

@Justarwaxx I'm sorry you are struggling right now. I can definitely relate; with Christmas and also recently having my period, I overate, especially sweets. It happens. You have to remember that you are fighting years of bad eating habits and those aren't just going to change overnight because you had surgery. I know for me it helps, that even if I have made bad eating choices, I still log my food and feel better seeing that it's still not over 2000 calories a day, which in theory means I'm still below anything that would make me gain weight. It's not helpful to shame spiral, because there is no lesson learned in shame. You are okay. And tomorrow is another day and another chance to make better choices. I hope you are feeling better now.

167 was my lowest weight and I was determined to keep going, then life happened. I started a new, stressful job, bought a house, moved within a month, and then my dog died in my arms all within a year. To say I'm disgusted with myself is an understatement. Being someone who considers themselves a perfectionist, this is really dragging me down. On top of all this good stuff, my body dysmorphia is unreal. I see my current self in pictures or in the mirror and I see my 300lb. self. Even though I'm in medium clothes when I used to be in 2-3X, I can't get myself to see the change. I didn't have the surgery for vanity. It was successful in helping me come off of diabetes and high blood pressure meds. But now that my life feels like it's finally getting back to a normal rhythm (besides having a 6-month old puppy), I am ready to get back on track and get back down to a reasonable weight. I can see the gain in my face, and it's killing my confidence (if I ever had any). I've talked to my gastric bypass team - I know what to do, but I'm having a hard time getting back on track. I'm trying baby steps, but I'm looking for other tricks and tips for getting there. Any and all feedback is appreciated. Best

@AmberFL Thanks for the additional detail! I agree with @ShoppGirl that localized swelling and postoperative edema may be causing a lot of your gain. I do also totally understand the concerns, though! I recently had a procedure done on my proximal hamstring to treat a partial tear. While not nearly on the same scale as your plastic surgery, I wasn't able to workout at all for a full month and even now almost 2 months later, I'm still having to ramp back up really slowly. For example, I'm still not allowed to do any lower body strength training and my running mileage is only at about 50% of where it was before the procedure. Like you, I also saw my weight go up during this time. Even though I knew edema was the likely initial cause, it still messes with your head. This was especially true for me because my workouts are frankly a form of therapy for me. It felt like a double blow. It really sounds like you've got the diet mostly dialed in for now. I suspect one of 2 things will happen as you heal. The most likely eventuality is that your swelling and edema goes down and you find you're happy with where you're at weight wise. If so, be sure to up your calories as your workouts resume. If you find that you are a little heavier than your ideal, then no worries. Once you are working out again, the easiest solution would to only eat back about 50%-75% of your workout calories. This will be slower, but is super sustainable, compared to a drastic cut in calories that would get you leaner quickly, but is also a lot more likely to cause some rebound weight gain. I also noticed something you said in an earlier post and I wanted to commend you for it. You mentioned something about maintaining around 1700-2000 calories. This is something a lot of people don't understand, but you can successfully maintain across a range of calories. Many people think they've got to be EXACTLY at a certain number to maintain. That's just not true. The reason is that most people will subconsciously be a little more active when the calories are higher and a little less when they are lower. Please check in every few weeks and let us know how it's going? I'm sure you'll do great, be we are always here to help if needed.

All great advice and much appreciated! Thank you all. @SpartanMaker thanks for the number crunching! I am definitely trying to cut portion size. We got rid of all the sugary stuff in the house and things like my tortillas. I've started walking (I have been completely sedentary for years- I work a very stressful, 40 hour week desk job from home.) I can't walk for 30 minutes straight. My low back and knees are trash. I carry most of my weight in my belly. I joke to my husband that I need a rolling cart to set my belly on so my back won't hurt so much. I walk as long as I can & fast enough to get my heart rate up and be breathless to the point that I cannot carry on a conversation. I'm looking for a treadmill so I can walk inside. I tend to turn my ankle & fall if I'm not super careful while walking on the gravel road. Thinking about pulling up some of those old Sweating to the Oldies videos by Richard Simmons LOL That might be a good way to do some cardio. I've failed at losing weight for so long. Today I'm feeling kind of emotional just thinking about what I'm facing. I said in an earlier post that keto & low carb didn't work for me.... fact is, they do work... as long as I stick to them. The minute I stop, I regain the weight I lost. sigh. Seems like I gain weight if I breathe in the aroma of baked goods.

I have been weighing daily and I’ve seen my weight go up a couple of pounds on a day. It’s not uncommon to fluctuate. SO many things like water, inflammations or even a full bowel can make your weight fluctuate. If you’re sticking to your plan it’s pretty much impossible for you to be gaining. If you are looking for an easy way to track your macros try the Baritastic App. It’s so simple.

I think my reasoning is because I am low key freaking out because I am *done* losing weight and maintaining and I have never ever ever ever been in this position. Always losing or gaining. So eating close to 2000 calories a day and only being 8months post op, my mind is telling me that I am going to start gaining and this is not sustainable. I have never stayed this active this long either lol Its just a new life that I am not used to, and this week I am panicking (WEIRD!) I am sure that I need to talk to a therapist LOL but you guys are it for me at this moment. 🤣

I finally gained weight!!! I'm officially at 180, and I like that. I feel better, I have more energy, and I don't feel nearly so run down and out of it. Still look super thin, but it is what it is. Now I'm going to work on maintenance since this is where I want to stay. I'm ok with 2 pounds in either direction, but I definitely don't want to drop below 178 again lol I got all the way down to 170 and it was just really bad. I literally don't work out at all anymore because I'm on my feet all day working 5 days per week. I increased my calories to 1700 per day (up from 1500), my carbs to 55 net per day (up from 40 or so), my protein to 100g per day (up from 80), my healthy fats to 80g per day (up from 50), my fiber intake to 30g (10 from supplements and the rest from food - up from 20) and upped my fluids to 120 fl oz per day (up from 90 - 100). I'll add my weekend workouts back in now (nothing crazy, just core and strength but on the lighter side, not heavy) so I don't gain too much now that I've figured out how to finally gain weight lol

Ask him about the statistics of long-term success with the sleeve. The sleeve is great for many people don’t get me wrong, but I believe it was 26% of sleeves that need to be revised. If I’m not mistaken, this included because of Gerd as well, but also inadequate weight loss to begin with or weight regain, which was more common with sleeve than with the other surgeries. When I talk to my surgeon about revision, I wanted assurances that I wasn’t just wasting my time going to lose all of my weight. Only to turn around and gain it back and he said the sleeve does not have the same metabolic changes that the SADI or Bypass offer. While the. Sleeve is enough of a change for many people it’s just not enough for some. In my case when I lost my weight, I was basically on a diet with the sleeve which was a little bit easier because I wasn’t hungry, but once the hunger came back, so did the weight for me so this may be different for you because you did keep it off for a while, but I would ask what the statistics are in terms of people who gain it back down the road with sleeve is that more common than with the other surgeries? I guess one kind of pro for doing the sleeve would be that if you did regain the option for a revision would probably be a lot easier. Not trying to say that you want to think of that before you even start but it is a possibility for all of us I guess. It’s a lot of questions and a lot of information when you start weighing more than two options especially but just be thorough and ask all your questions you will know which option is best for you once you feel educated about them all. Best of Luck.

A typical pre-op is dependent on your insurance and your surgeon, but most require things like: A series of monthly visits with a dietitian. 3 to 6 monthly visits are fairly common A visit with a psychiatrist or psychologist. Depending on the outcome, you may need to undergo treatment for an undiagnosed eating disorder One or more education sessions typically done over a series of weeks. This is to better prepare you for both the immediate post-op diet, as well as long term expectations. These are sometimes, but not always done together with the dietitian visits. Clearance from your primary care doctor and depending on your health history, clearances from other doctors such as a cardiologist or endocrinologist. Numerous blood tests, both to look for potential problems and to set a baseline. Again depending on your health history and your surgeons preferences, you might need to have things such as an endoscopy and/or a swallow study done. Some people may even need additional imaging done such as CT or MRI scans. As a diabetic, they may require your A1C to be below a prescribed value. This is for your safety. Honestly I'm probably forgetting some stuff. If so, I'm sure others here can chime in. In terms of lifetime changes to your eating patterns, you need to make sure you're prepared to make better food choices for life. It's a sad fact, but a pretty high number of people that have weight loss surgery eventually gain the weight back. This can be avoided by learning how to make better food choices now, so you don't fall back into old habits once the stomach restriction eases off. It's often misunderstood by those not familiar with bariatric surgery that weight loss post surgery is "easy". Yes, the initial loss can be easier that it would have been otherwise, but keeping the weight off is just as hard, if not harder that it would have been had you not had the surgery. This is why learning how to eat better is so important. People that lose weight naturally and keep it off do so through repeatedly making good food choices and strict discipline. That knowledge carries over really well to long term weight maintenance. The people that fail weight loss surgery often found initial weight loss easy, but sometimes really struggle once they get to maintenance since they don't know how to eat like a "normal" person. Add in the fact that a formerly obese person trying to maintain weight typically can't eat as much food as someone that was never overweight even if they are the exact same body size, and you can see why retraining yourself here is critical. Throw in the fact that (at least in my opinion), most obese people either have an eating disorder, or at least suffer from disordered eating, and it's obvious that the surgery is just a small component to overall success. TL;DR: IMO, It's better to take your time and do it right.

it's very unusual for "normal" weight loss patients (that is, those of us who aren't the size of the folks on "My 600 lb Life") to lose that much weight (the 30 or 40 lbs you mentioned) the first month. I have been involved nationally - both on forums and at conferences - with WLS for years, and I've never known anyone to lose that kind of weight (maybe 30 lbs - but even those folks are outliers. Forty pounds? Never). Most of us lose somewhere in the 15-25 lb range that first month, so you are right where you need to be. I lost 17 lbs my first month, and I started out at well over 300 lbs. I went on to lose 235 lbs (have gained some of it back, as most people do, but I'm still over 200 lbs lighter at nine years post surgery). Your loss is absolutely normal.

@JamieLogical are you counting steps daily or going for distance? I need to go back to the basics of eating after surgery. I’m like you and can’t eat a lot of food for a meal and count that as a blessing. I’m recently dealing with a strained groin and doing pt for it. I’m getting frustrated because I’m starting to gain my weight back. There is always an obstacle for me to go through on this journey. Hoping and praying to get motivated soon!