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I think most doctors tell their revision patients not to expect much weight loss. It disappoints many. I remember mine telling me 20 lbs. at most and only in the beginning since hunger comes back by year 2. Something like that. I had my revision done due to complications of the lapband, and then gerd from the sleeve. I think you'll find the RNY much more comfortable to live with compared to the lapband. For one, it's a lot easier to eat. I remember I couldn't eat bread and many things without gagging when I had the lapband. I can eat anything I want now without that feeling. I think if one wants to lose a lot of weight after a revision, they have to really follow the rules and work at it. Especially after the hunger comes back. I really think you'll be able to maintain the weight that you are happy with.

Congratulations on your loss. Whoo hoo! Might be worth checking your calorie intake & what your body actually needs to maintain your current weight & activity level. What portion size are you actually eating? I eat pretty much what is considered an appropriate serving size in maintenance e.g. 3-4ozs protein & a cup of vegetables. Took me to about 18 +/- months to be able to physically be able to eat that. I had been snacking a lot in between to try to stop my continued weight loss until I got to that portion size. I actually still do have to snack just not as frequently. Might be worth a conversation with your dietician to see if there’s something you’re missing & what you could add to your every day eating to help. Also, a growling tummy is more often than not your digestive system doing what it’s supposed to - digest food. Mine is noisiest during & after I eat for up to a couple of hours. Remember you can’t be really be hungry as you’ve just/recently eaten. Your cup of tea is a great idea when this happens. PS - I snacked on combinations of cheese, multigrain crackers & hummus, protein bar, fruit, peanut paste, nuts, yogurt, chia pudding, etc. about 5x a day. Yes I felt I was eating all day long. Now I snack 3 x a day on basically the same things & also occasionally beef jerky & baked fava beans/chick peas.

I would agree that it's possible you just need to allow yourself more calories considering your rapid weight loss. Congratulations on your success!

So I am almost 13 months post OP (mini gastric bypass). Posting in gastric bypass forums as mini gastric didn't seem much active. I have lost close to 162 lbs and now at 166 lbs. Achieved close to 100 % loss for my excess weight. I also have very good muscle build now due to strength training and all bones show up. But one thing is, my hunger is back. I am trying to keep meals small, like I was taking couple of months back. I eat slowly, even stop at times and then continue. No dumping syndrome or diarrhea, infant I get constipated at times. Use bathroom like once in 1 or 1.5 days. So I think I am not eating too much, as I am always scared to stretch my pouch. But unlike earlier, nowadays within 1 or 2 hours I start to feel hungry. Generally, I substitute that with a fruit, tea (milk one and green tea), make protein shake (whey and casein in night), raw tofu or low-fat cottage cheese. Earlier I could eat small meal and remain hungry for hours. But not anymore. The flipside I feel is constantly feeding every 2 hours, even with healthy options might raise insulin level that further impacts hunger hormone? I keep hydrated all the time, still but stomach growls every 2 hours. I think since I no longer have any fat reserves, and I have lot of muscle mass now which requires calories. Maybe thats the reason? What do you think? Thanks

My sugery was 11/29.. as of this morning I am 32lbs down.. I started back into the gym on Monday, 8 weeks post op. I have not really had a weight stall yet, I am noticing that my hair loss has picked up so I am getting it cut on Tuesday. I am off all my food restrictions so I am excited about trying out all kinds of food. Going clothes shopping this weekend to pick up a few things as my clothes are falling off me.. This has been a fun, stressful and frustrating journey but I am here for it...

Me too. My hair is wild and curly, so I use hair gel to try to keep them in line. When I was a kid we used to call them the frizzies. LOL I just had my hair cut today. Mine's in a long shag a bit below shoulder length and so the layers help to create fullness. Glad to hear yours is growing back. I feel bad for those who lost their hair in clumps. Yikes!

My surgery was 11/30, so I am about 8 weeks post op. I’ve lost 31 pounds and hit a stall. But dietician assured me to just stick with the plan and the weight loss will restart. Protein and Water goals are all I can think about lol

My incident of hair loss was very similar to yours. It started about 3 months post surgery and continued to about 8 months. I cut my hair to shoulder length and that helped restore some fullness. I am now noticing hairs about an inch long growing all over my head! Good news, its coming back!!!

i think many people on here will tell you any revision surgery results in a much slower rate of weight loss than the first time around.

Good for you! Your nutritionist needs to be working somewhere else. It's sad that everyone thinks it's OK to judge us. I educated a personal trainer at a gym (young guy) who, instead of giving me a personalized workout, gave me a lecture on diet. I told him I knew more about dieting than he ever would because I've read all the books and tried most of the fad diets because I've been dieting for 40 years, and that he should stick to his specialty. The doctor in charge of my nutrition team tried to talk me out of the surgery because I'd lost so much weight already. I told her I'd never had a problem losing weight, my problem is it always comes back and more, I want the metabolic reset so my body would be OK with me weighing less. No one understands the complexity of our metabolic set point. Scientists are studying weight loss surgeries in mice and have discovered all their theories are wrong or only part of the reason these surgeries reset out metabolic set point. No doubt their studies are funded by some pharmaceutical company so they can make a med to replace the surgery. Genetics, premature/low birth rate, health and neutrition issues, our culture and upbringing, stress and depression, habits that our bodies have become to crave... It isn't all about discipline. Compare people's attitudes toward Smokers, alcoholics and drug addicts, who get more understanding and less blame for the habits they can't quit (as long as they don't live on the street, beg, or look/smell bad). Broke people can get free rehab. Where is our free surgeries?

Hi! I was banded with a Realize band in 2008. Went from 235 to 150 and I've been between 150 and 165 for years. I'm now having serious complications with the band. Lots of complications but the worst is an "oozing sore" around 75% of my Esophagus. I've had such great success with the band and I'm nervous about going to a RNY. I really don't want to weigh less than 150. Is a revision just going to put me back into rapid weight loss? Any revision weight loss/gain stories are greatly appreciated. I need someone to hold my hand!

I am so glad they recommended you for revision!! It is sad that a lot of insurance companies have a "one bariatric surgery per lifetime" clause, or will cover revisions but make it near impossible to qualify for them. The sleeve surgery is the first stage in a classic DS surgery, it should always be up for revision to a DS/SADI if the results from it aren't lasting! I had a modified traditional DS done on November 1st. I'm so happy I did it. My diabetes and high blood pressure went into immediate remission. My weight loss has been slower than I'd like, but that isn't unusual for a DS because we lose for a lot longer than other surgeries (if we are lucky!). Your sidebar says you are pre-op, you should adjust it so it shows you post-op! How are you feeling?? I've heard the recovery from revision from sleeve to SIPS is not too bad since they don't normally touch your sleeve again unless it was improperly done the first time. Do they still have you on a strict post-op diet progression? I look forward to seeing how your weight loss goes, revision patients to this surgery usually do well! It just goes a little slower than before. ❤️

Weight loss distribution is a funny thing. I have been tracking my measurements and it is odd to see where it is coming off, even this early on. I've lost an inch from my wrists at the 2 month mark. Why? How? I have no clue. Or I've lost nearly 9 inches from my waist just shy of the 3 month mark, but my protruding belly area, where I expected the weight to come off first, isn't budging. I've been told by a number of vets that it takes a year or two after you've dropped most of your weight for your body to get a clue and redistribute the fat you have left. So this means at times when you are dropping the weight you may look skeletal in some areas that you used to have padding in when you were that weight before. But try not to worry too much about it, usually within a year or two it rebalances as it redistributes. I'm sure that doesn't apply to everywhere, but it applies to most places... Also, most surgeries have a rebound once you reach your set point and stop losing. This is often in the 15-20 lb range. So conventional wisdom from the vets is to ride your weight loss down as low as it will go (unless you end up officially underweight by BMI), as you will rebound and then complain about that extra 20 lbs that came back. LOL

Yeah, the dietician was a prick to mention your weight in relation to other patients. You were not unusually heavy and it is just plain unprofessional. I hope you have a word with the surgeon about it at some point, people need feedback on how their staff are carrying out their jobs. I'm sorry it is so hard to obtain this surgery in the UK, you should have been given ample support and encouragement on your journey, not criticism. As was said above, you may need the support of a dietician post op and going to one who was condescending to you pre-op is not a recipe for success post-op. You may want to seek out your own dietician for support. One you can feel free to fire at will. LOL I find dieticians assume by default we are all idiots about food, especially healthy food. And they tend to fixate on weird things, like pasta alternatives that are "just like the real thing!" that they have probably never eaten themselves. Or cottage cheese!! OMG I do not want to eat a bowl full of cottage cheese!! I think they should have to go through a 3 month staged bariatric diet, including an all liquids portion, so they have some lived experience and can be a little more human with their patients... Although I will say I've actually run into a few dieticians that have had bariatric surgery and while they don't say the stupid weight things anymore, they do still have a lot of biases from their training (like no protein supplements because they aren't "real food"). Your weight story is not unusual, as others have said there is more and more research pointing to obesity being a very complex disease and far from a moral failing or issue of willpower. There are a lot of stigmas around weight and weight loss surgery and unfortunately the medical community is a willing participant in much of that misinformation. I'd advise you to find a therapist or a mindful eating coach who can support you in changing your food choices early on, so by the time your hunger comes back your new habits are firmly in place and something you can rely on. I wish you so much luck on your journey!! You are doing great!

I think the people that lose so much weight after 6 mos are people who started at a much higher weight than both you and I. The heavier one is going into the procedure, the more they lose more quickly. I do know that if a person does not enough they will put themselves into a stall so i dont think those people are starving themselves, i think they are just bigger to begin with. I am only a couple months ahead of you (my surgery was 4/12/23) but my weight loss has considerably slowed and i havent even hit one year yet. I do eat more normal foods now as opposed to "diet food" but i do still limit my carbs and fat and sugar. Regardless, in the last 3 months ive only lost 10 lbs. Kind of annoying but i also could do better on my diet so that is partially my fault. How is your sleep? I also notice that when i get more sleep i seem to drop weight quicker. Im not the best at going to bed early enough though.

I'm another 40 pounds down or so and it's... bad. I don't have to stretch or flex, you can just count my ribs all the way down, except for where there's a fold of loose skin (I think these are technically called breasts?). This isn't "I'm so used to my obese self I don't understand what healthy is" type skinny, this is "I can play the xylophone if I wear a low-cut shirt", tabloid speculation about drugs and anorexia type skinny. On some level, I'm stoked, my ED self is absolutely thrilled to be able to see every bone, but I just don't understand how I can have so much hanging fat on my lower body and look like a skeleton on top. I do have a small frame by wrist size, but my rib cage apparently did not get that memo. Because, again, I'm still overweight. My bodyfat percentage was assessed at over 30 a few weeks ago. Where the #%@! is it? My weight loss also hasn't plateaued, or even significantly slowed. I'm still losing around 1.5-2% of my bodyweight per week. I am absolutely not following the diet plan given to me, eating much larger portions of much more calorie dense food but I continue to diminish. On one level I'm thrilled, but on another I'm worried this won't stop and I'm going to have to wear turtlenecks to stop birds from nesting inside my torso.

Honestly i never wanted this surgery WLS, i refused it fighting with the doctors the whole year. But when i learned it was actually meant for GERD patients to help us eliviate the reflux and saving our throat is when i said Yes i'll have the surgery. Doctors noticed the weight loss for GERD patients then it became the number 1 surgery for obesity. Perimenopause has a huge hand in our weight gain belly and reflux triggering more. Our hormones are off the track so I do take BHRT (BioIdentical Hormone Therapy) to help with a lot of my symptoms. Overall i really cant tell if my reflux is worse or not it's there regardless and i cant get off my meds.

I hope your gerd issue subsides or they can get it under control. I don't think that is hindering your weight loss. Are you eating too many carbs? Do you track what you eat? Also, now here is the blunt truth..... you are considered obese if you were 5'3 and 210lbs. I'm not being mean, because i myself was considered morbidly obese and would never shame anyone on their weight but a fact is a fact and at that weight and height for a female that would be considered obese. I would try talking to your nutritionist if you are worried about losing weight slowly but do keep in mind we all lose at different rates, stall at different times etc. As Arabesque said, don't compare yourself to others weight loss journey because we are all different and you will drive yourself crazy! Best thing to do is talk to your dietician.

Maybe the fact that you are practically starving yourself is the problem. Even with the weight-loss, your body still needs enough calories, including protein, carbs, and fats to burn. That’s when you start (or continue) losing weight. When you start eating too few calories, your body reads that as famine. It holds onto whatever calories it can. Your best bet is to eat enough calories that you and your body don’t think you’re in a famine.

yes - obesity is a complex disease. Among other things, at some point it can cause biological changes that make it very difficult to lose weight. For example, I've read that research has shown that even gut bacteria is different in very obese individuals than it is in normal-weight individuals. your experience is very common. In fact, I took a course in obesity and weight loss at a local university (nutrition department) a year or two ago that addressed this. The usual pattern is that people lose about 5% of their weight in the first few months of dieting, then it levels off for a couple of months, and then it gradually comes back on. About a year later, they're back to where they started. That knowledge didn't surprise me at all - that happened to me over and over and over. Weight loss surgery is the only thing that ever worked for me. Surgery won't help prevent the behavior. What it does is. 1). takes away your hunger for the first few months - (for a lucky few this is permanent - for most of us, it comes back sometime during the first year post-surgery) and 2) keeps you from eating a ton of food at one sitting. What it doesn't prevent is "grazing" or mindless snacking, and that can be a really slippery slope. Take those first few months of no hunger and really work on changing that behavior. Nine years out, I struggle with that every day - the urge to eat mindlessly. It takes a lot of work and dedication to control that (although honestly, a lot of my never-been-obese friends struggle with that, too). I don't know if I'd ever eat my way back up to 373 lbs again, but I know if I let myself loose for more than a few days, my weight starts heading north...

Hi All, First Post I'm female in the UK and nearly 59 years old. I have been a fat toddler, a fat child, a fat teen and a fat adult. I have yo-yo dieted all my life, with each yo-yo lasting for a shorter period and resulting in a new high-point when I would inevitably bounce back. In July '23 I reached a new all time high 24st 9lb (345lb) I was about to start the diet again, about to go through the same loop but just couldn't face it. I made an appointment with a bariatric surgeon, discussed my history and options and agreed that a gastric sleeve was a good fit for me. I was told I was too heavy for their practice and I needed to lose 56lb before I could have the surgery. The surgery was booked for Jan 2nd '24 and I started dieting. As is the practice here I had an assessment with a psychologist who confirmed I was a suitable candidate and a dietician who again confirmed I was a suitable candidate but in the process managed to make me feel like I had already failed, in her words I was "Much heavier than most people who come to us" As she was a gate keeper and I needed her approval to progress I did not complain. That time will come. Following my initial consultation on the 8th Aug I started dieting to get down to the target weight. I have never had difficulty in losing weight I simply cannot maintain any losses. My normal pattern is if it takes me 6 months to lose the weight I will regain it and 10lb in the following 12-18 months. By the day of surgery I had lost 75lb and was already feeling so much better. I considered carrying on with just dieting and not having the surgery but I was already beginning to see my discipline weaken and I knew it would be the same old story. Surgery went well, I had very little pain or discomfort and by and large I cannot complain. I'm currently on the pureed stage of the diet and doing OK managing to keep protein and fluid levels up though I struggle with the fluids some day. I have lost 13lb in the last 21 days but have hit the dreaded 3 week plateau. Early days but I have no regrets - to be without hunger for the first time in my life is such a relief, I feel good and am doing more and more each day. I am already starting to live the life I want and i can see so many more benefits ahead and believe they are attainable and retainable. I wish I knew why I have struggled so much with my weight - there is no one trauma or set of childhood issues I can point at. It is not that I have a compulsion to eat everything in sight there are so many foods I can just ignore, I have no interest in sweet foods of any kind or greasy deep fried foods. But I cannot resist bread, pasta , rice etc and my down fall has always been the second or even third portion of these carbs. For this reason if no other I hope the VSG will not only prevent that behaviour but I also hope it will give me enough time to re gain control before considering a second helping. My parting thought for this post is that as I have gone through my journey thus far the one thing I have found is that my story is not that unusual, my problems are not unique and most importantly that they are not the result of some moral failing or fundamental weakness. There is more to life long obesity than can simply be solved with "diet and exercise" and having finally found medical professionals who believe that is the case I see this year and this journey as a new lease on life that I am going to grab with both hands. Koshk - newbie

Hi, I had gastric bypass surgery August 16, 2023. My heaviest weight ever was 260 lbs, but I started the 6 month weight loss program weighing 249lbs (5'3"). I had to do a one week of liquid diet which was just protein shakes, water, decaf tea. I can honestly say it was the hardest 3 days of my life on the liquid diet because the physical pains of hunger was a constant reminder I needed food. Day 4-7 was more so a mental hunger and I had a boost of energy. What helped me was just constantly drinking LOTS of water though out the day and keeping myself busy. Heaviest weight: 260lbs Starting weight: 249lbs Surgery weight (day of surgery) 235lbs Current weight: 181lbs Peppermint tea helped eased the hunger pains when I was experiencing stomach cramps. Also, no one told me my tongue will turn white, like literally a coating of white film on my tongue during the liquid diet phase. Something to do with ketosis (detox of sugar from body) Best of luck!

I can't see why the weight isn't falling off for you. Dang, you certainly are eating very lean and low calorie. Seems unfair. I'm clearly nobody to give advice since I ballooned to nearly 350. I only know for my body and if I hit a stall I have to eat a bigger amount for one day then back down to low calories and it seems to jolt my system into more weight loss. My sister had gastric bypass - lost 85lbs and starved herself on cabbage to get down to the 100lbs loss so she could get her knees replaced. Once replaced and she started eating a normal (for us) diet and gained the 15 lbs back but has maintained her weight for the past 3 years. Th beef gelatin has no flavor, none. I can't eat sugar free jello due to the sweeteners they put in it. Many sweeteners are inflammatory and due to my super bad knees I can't stand any inflammation of that kind. If those products don't bother you then you could do sugar free jello, add some extra unflavored beef protein and have a tasty snack. I should add some foods make me retain water - like any tomato product and any wheat or rice. I've no clue why but if I eat those my feet, ankles and lower legs swell. I've been eating mostly paleo for the past 7 years. Has the Dr given any explanation? Any advice? My dietitian keeps telling me we are losing inches not necessarily pounds. I call BS. All I know is I have 17 more pounds to lose to get new knees. After that I hope to lose another 60 so my hubby can buy me a face lift (he doesn't know it yet) SURPRISE DEAR LOL

Okay - I have a one month update! This has been a difficult month! I had my surgeries on December 15, 2023, and I got a tummy tuck with fleur-de-lys, 360 liposuction, Brazilian butt lift, breast lift / reduction with implants, and arm lift for both arms. It was a lot! I spent the first week recovering in Tijuana in the recovery house, and then flew home to Seattle on Dec. 21. I had two drains, one on either side on my groin area. The plane ride introduced the first main issue I had. The left-side drain got yanked in transit and by the time I got home it had come out. The right-side drain wasn't far behind it; it had come so far out that I accidentally tripped on it on 12/22 and that one came out as well. Now I was drainless but still had a TON of excess fluid with no easy place to drain from. So, all that excess fluid escaped out of the easiest places possible - basically all my nicely sewn up tummy along my fleur-de-lys stitches! I went to the ER; I was so scared that first night - I thought any small movement, my belly was gonna split open and spill my intestines on the ER floor, and of course I also had a cough and every coughing fit made me very scared. The ER doctor dressed my wounds that had opened up and reassured me that my belly wasn't going to split open. The next business day, I scheduled an appointment with a plastic surgeon and wound care in my doctor's office. Basically, my wounds were: Left breast: two large wounds along the vertical incision line; one wound at the T-junction under my breast (this one becomes important later) Abdomen: an 1-inch-long split along the fleur-de-lys line above my belly button; split near the bottom of my belly button Lower abdomen: 2-inch long by 2-inch wide by 1-inch deep triangular hole at the T-junction where the fleur-de-lys incision meets the tummy tuck; 2-inch long seam opening along my groin / right hip Various small wounds on my arms, tummy, and hips My back healed perfectly! I met with the plastic surgeon and he recommended ways of dressing everything until I could be seen by wound care on January 5. In the meantime, I had developed an abscess behind one of my wisdom teeth and had to have them pulled. I scheduled that for January 5 also because I'm a glutton for punishment, but I opted for just laughing gas cuz I needed to be clear-headed for my wound care appointment after. Remember that T-junction left breast wound? Well, that started to open up wider and wider in the week leading up to wisdom teeth / wound care day. It was leaking a ton of fluid, and I could see something black inside the wound, which I initially thought was some form of necrosis. January 5 came, the dentist yanked my three wisdom teeth, and me and my designated driver headed over to wound care. Well, wound care was just as stumped as I was because it felt plasticky and they could shine light through it. They had never seen it before at wound care, but turns out my left implant was deciding to be an explant... and needed to be taken out. 😞Wound care patched me up great and sent me over to my plastic surgeon to discuss the implant. Because I had literally had my wisdom teeth out that day, they couldn't do the surgery to take out my implant until the following week. I was really sad and went through all the stages of grief, including bargaining, with the plastic surgeon. I asked what my options were for saving the implant and he said it looks like it has to come out. I said "Looks like, so there's a chance it can stay in?" Nope. I also asked about my options for removing the right-side implant in the same surgery so there's at least symmetry. He said that because the right-side isn't infected or splitting open, insurance won't cover the right implant removal. This was the first time I stopped crying and grinned up at him, "So I have a week to get the right side infected, yeah?" 🤣 Nope, again. The plan was to just get both breasts (and literally EVERYTHING ELSE) healed, and address the asymmetry later. I got my left implant removed on January 11. While I was under, my plastic surgeon also removed a ton of exposed stitches from my various wounds that allowed them to heal up so much faster. My implant was small, just 285 cc's, and while there is a visible difference in my boob sizes, it's not too bad for now. I'm going to decide later whether I want to re-implant the left side or explant the right. So that's my very long one-month update! It's been a crazy wild ride. Oh!!!! I also don't regret it! Other than the whole left-breast-implant-loss-thing, that is. I feel amazing in my body; in fact, I was just telling my therapist that I finally feel like I exist in my body for the first time in my whole life! They excised about 18 pounds of excess skin in all, and I am still a little swollen and losing water and wearing my stage 2 fajas. I'm so happy I had these surgeries! With as much as I had done, it went about as well as can be expected, and one loss in what like ten surgeries? I'll take those odds. 😉 ~Kukui

Congrats!! I'm sure you feel relieved! I'm at the point where I've been in a stall or at least a weight loss slow down stall for a few months myself. But I've only lost about 3 lbs the last month..21 over 3+ months and I'm only at 5 months post op! As annoying and worried as I'm sure you've been.. I hope it helps some knowing you made me feel relieved knowing it might only be temporary. Again, congrats and you're soooo close to your goal now - you've got this!