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Yeah, there's a definite bias of information (unintentionally, of course) when you frequent bariatric spaces. I've been on this board almost a year, and I really enjoy it, but at five months post-op, one thing I've noticed is the vast majority of people who were posting regularly a year ago, or even 3-6 months ago, are not here any more. That's a lot of diverse experience that goes away, and I would guess that the people who remain are a combination of those who are the most dedicated (possibly to the extreme), those who get the most out of social interactions, and those who experience the most complications in their journeys, along with people who return after several years to get back on track because of significant regain or needing revisions. The people who are hitting their goals easily, losing weight at an average pace, eating and exercising in a way that isn't particularly noteworthy, maintaining within a reasonable weight range, and generally living life without stressing about bariatric issues, quickly become underrepresented voices. So it's easy to start thinking that the average person struggles a lot at every stage, can barely eat or drink for months, exercises like they're training for the olympics, tracks every bite of food and never strays from their macros every day of their life, experiences all the most severe complications regularly, and will gain back all their weight plus some if they even dare to glance at a piece of bread or a dessert on someone else's plate let alone allow a bite to pass their lips. It's easy to become very obsessive about it (raises hand: yes, that's me). And in a situation like after surgery where a lot of things change at once, sometimes it feels like the more you can control and anticipate, the better. At least it does for me. But my advice would be, especially when you are feeling particularly anxious about something, to think about whether there are perspectives you aren't getting that might reduce your anxieties if you were able to hear from them. Like, if there were 20-30 people who used to post in your surgery month group and now you're down to 4 or 5, what might those other people say if you asked them about the thing that is worrying you? My guess is, if they're not posting anymore, it's usually not because they're suffering in silence.

Plateaus and regains are part of the journey for most of us. Weight loss is not linear - it's ups and downs and side to sides and all other possible bumps in the road. If you stick to your programme then you will lose - lots. I totally understand your frustration - we all go through it. You'll be fine 😍

I agree with the others, it’s too early to make calls about what your final stabilised weight may be. Don’t make decisions based on the number on the scales. It’s not uncommon for your weight to bounce about a little before it stabilises. Bounce back regain is real for many whether that be your body resettling or you making adjustments to complement your lifestyle. And don’t forget your remaining weight resettles itself, even though the scales don’t move, so how you look now may not be how you look in a couple of months. I initially lost my curves and was sad about losing my hour glass shape. A few months on & there it was again - smaller ratios but there. Body dysmorphia comes into play too: how we. See ourselves & how others see us. I thought I’d be too thin & gaunt if I got lower than my goal but here I am 11+kgs less and I’m far from gaunt or skeletal. And like @ms.sss, people who said I was too thin many kilograms more than I am now, think I look fine now and don’t say anything. Remember your goal is not necessarily your body’s goal (new set point). Working out your maintenance isn’t always easy. It wasn’t for me. I was still adjusting to how much food I needed to eat & what I could actually physically eat & I was subconsciously ignoring where my body wanted to be. Enjoy the ride and only worry if your surgeon and doctors aren’t happy.

I'm in the same boat as you, my weight is regain at an alarming rate. To those who say don't weigh yourself everyday it was weighing everyday that kept my weight in check

Hi Everyone, I'm a 45year old male who is 2.5 years post RNY. I have always been bad at my protein, calorie and water intake. Started to drink multiple coffees a day. Typical male never remembered to take vitamins or supplements on a regular basis. I have never really tracked anything AND I am now seeing the results. After my initial 120lb weightless, I have regained approx. 40 lbs in the past 8 months. I have very dry skin and scalp and my teeth are starting to chip very easy. I am now starting back with my Daily Multi-Vitamin and Calcium Citrate. I really think an app on my phone OR maybe picking up an apple watch would help me with keeping track of intake. Does anyone have any suggestions?? Thanks, 😊

Hi, I had the sleeve in 2016. I lost about 30 or so pounds, which I have since regained. The sleeve was not very successful for me. On Monday (8/21/23), I had the SADI-S DS surgery. The doctor said that weigh loss will be slow. I am just worried of failing again. If anyone else had had the SADI-S revision, I would like to hear positive stories to inspire me and know that it is really possible this time. Thanks! Melody

Short update: I had my gastric sleeve procedure done in November 2019. I lost around 85 lbs and then stalled eventually regaining around 50 lbs back and a horrible case of GERD. I had never had symptoms of GERD before my surgery and about 3 months later, I had to begin taking omeprezole daily to deal with it. If I forget a dose I can tell by the afternoon. During the first year post surgery, I lost my husband (not unexpectedly but it DID happen 10 days post-op for me), moved across country from Florida to New Mexico, bought a new house and started a new job. My daughter is 1 year post-op and lost approx. 150 ibs on the DS. l just started the process to obtain a revisional surgery. Will be discussing the benefits of either the DS or ByPass. I had the upper GI completed which showed a small hiatal hernia with evidence of GERD. It also showed mild cricopharyngeal hypertrophy. Any suggestions regarding which of the 2 procedures would help with the GERD and to help lose the 130 lbs. that I still need to drop to get to my goal weight?

I had a revision for GERD. began regaining weight at 6 months post revision. I've had issues with rapid gastric emptying after my bypass, I feel limited restriction and have blood sugar issues. Most people only get these issues with sugars or simple carbs ie: dumping. I get it after everything. I started wegovy a week ago and it seems to be helping.

I am so sorry that this has happened, it must be so traumatic. Lots of us get the ' was it worth it feeling' with out the issues you have had to get through. When you feel more in charge of your pain and more sure of the process, you may feel it really was worth it. I did. The rapid weight loss and anaesthetic also makes you feel weak and tired. As you eat a little more you will regain your strength and start surging ahead hopefully. Good luck and good healing

Have you reached out to your team? What did they think? Are you still allowed to supplement with protein shakes? At 7 weeks post op I wasn’t hungry at all. But some people regain their hunger signals sooner/later. Also some people experience what they think is hunger and it’s either thirst or reflux. I can tell you that I’m 6+ yrs out and I’m hungrier if I don’t get enough protein but focus on carbs. It’s almost like I have to start my days properly (fluids then protein) or I’m hungry all day long. This does not happen If I front load my meals with a protein. I hope you find a solution!

Hey guys just a little backstory, I was sleeved 2017 and lost 100lbs but due to bad habits creeping in have regained most of it back 5 years now. I just had my consultation with the doctor and I’m getting revised to mini bypass. I’m excited and hoping to lose about 100lbs. Looking for others who may have gone through this revision.

I totally get it. My brother had surgery about 15 years ago and his first few months were dramatic. He was losing so much weight daily, and went on to get from 310lbs to 150lbs in the first year or so (he's since regained to about 230lbs). But when I am tempted to compare myself to him negatively, I have to remember he was a guy (they lose 20% more on average) and in his early 30s at the time. I'm female and 50! Plus, his starting BMI was 6 points higher than mine. All that can make a difference. And even with friends who may seem a lot more like you (similar size and age), there are things you can't see like how much inflammation or water weight a person had, or how much muscle. But yeah, it's hard. Especially as most of us had tried and failed so many times, having a few good months and then coming to a halt and regaining everything plus some, time and time again. When you are a slower loser, it messes with your mind and plays up your fears. But I definitely second the idea of measurements. In the past 3 weeks, I have barely budged on the scale, losing only about 3 pounds and doing a lot of bouncing up and down. But I took my measurements and I've lost almost an inch in my bust, over an inch in my waist, and an inch and a half in my hips. At the start of April, I was wearing a size 20w in jeans (albeit roomy, but they stayed up). Yesterday, I had on a 16w and they were comfortable, not even skin tight! I haven't worn a 16 in years! So if the scale is messing with you, see if you have a piece of clothing from your skinnier days that you could try on. You might be amazed.

I’ve tried so many types of exercise over the years & never found one I really enjoyed & stuck with. I dislike getting hit & sweaty. I did enjoy yoga - calming & love the stretching aspect. I didn’t exercise while I was losing but around 18months ago I heard about exercise snacking which is focussed on short bursts of activity several times a day. Bought myself some resistance bands & a thick mat (for my honey back - got them from Kmart so super cheap) and began doing 5 odd minute bursts of stretches, bands, & such about 4 times a day. Added some things & dropped others in my routine. I find it very easy to incorporate into my day. Do it all at home. Usually every day. Do tend to stick to specific times (2:30pm, 4pm, 5pm, 9:15pm). Will also do a few other little things throughout the day. Like have added some feet & Achilles tendon stretches on my stairs, stretch out my hamstrings using the kitchen bench while cooking. Big thing is I’ve been sticking with it. Even if away I do a variation of the activities (I don’t take my bands with me.) Initially started to help support my back (oozing discs) & regain some flexibility & be more limber. Bonus has been toning the muscles in my arms & legs. (had to buy some new trousers as my thighs had got a little bigger (not huge just firmer I guess) & I get compliments on my toned arms - who’d have thought it. Worth giving it a go.

OK this is a biggie. You might want to treat alcoholic drinks like a big glass of sugar. Empty calories and not helping you to your goal - hindering actually. However I am Irish and therefore have to acknowledge the fun/relaxation/social stuff associated with imbibing those totally worthless calories. Lots of people who have previously had a completely healthy relationship with alcohol (even if on the slightly heavier side of healthy alcohol intake) can develop a very UNhealthy relationship with alcohol after bariatric surgery. You get a bigger hit, you get it quicker, and you get all the neurotransmitter rush associated with that that makes you want to repeat the experience. For lots of us it has been a big trigger for regaining weight. Just do a search for alcohol and read some of the posts here describing it as THE factor on people's regain. Lots of others have been able to maintain a healthy relationship with alcohol too. If you do your research AND are aware of all that AND vigilant AND able to take immediate action if your relationship with alcohol changes then it might be OK to drink it earlier than your programme allows. Otherwise it might be best to just concentrate on the lovely honeymoon period when you lose weight with not too much effort. I was sleeved 7 weeks before Christmas 2021 and negotiated a glass or two of bubbles over that first holiday season with my dietician. I have been able to continue to drink alcohol at my previous rate and not regain. UNTIL I stopped losing - that was about 2 years post op, 5 months ago. Since then I have been regaining (albeit very slowly). I do wonder whether if I had just ditched alcohol (my only sugar now) early on whether I wouldn't have put on 5lbs in 5 months. I know that third year regain is a thing, but I will never be able to say what effect alcohol may have had. It does seem to have stabilised for me and I know my regain is tiny (not angsting, LOL) just wanted to share my thoughts and my experience. Sorry that turned into a bit of an essay. I hope it helps. Long story short, my programme said no alcohol for 6 months, my (Irish) dietician said go right ahead.

@BlueParis you're looking great! I'm impressed you can stand in those shoes. I think I would end up in the hospital if I tried. And congrats on finally getting below that magical 70kg marker. I'm happy to report that after 7 weeks of very pokey weight loss in which I only lost 4 lbs total and stalled out completely for 2 of those weeks, I have now dropped 4 lbs in 4 days. I cannot begin to express how relieved I am. I know it will slow again soon enough as a pound a day isn't sustainable, but I plan to enjoy it as long as it lasts. NSV for me this week! So, I had gotten down to around 205 lbs back in 2017 through my hospital's nutrition program. Naturally, I bought some clothing back then, though unfortunately I regained steadily over the years. Because I had moved house 4 years ago, I purged most everything in my closet. This included almost all the smaller clothing, plus the remnants of my old "professional" wardrobe that was also in smaller sizes from a good 20 years ago. (I should say, I don't regret that too much as the clothing was way out of style and I never have cause to wear suits these days anyway.) But I did happen to hold onto one springy sort of dress that I guess I must have thought was too nice to get rid of, just in case it ever fit again. Well, I pulled it out of the closet the other day to wear to my daughter's special event at school and not only did it fit, it was loose. I honestly struggle to see the difference when I look at myself in the mirror sometimes, but there's no denying how clothing fits, and I know this dress never fit me loose back then like it does now.

I totally understand this. It's not a bad thing AT ALL to step away from the scales if they aren't helping you. Honestly - if you stick to your plan you will lose more weight than you have already - much more. The issue is that the loss is never linear. If you get stressed by stalls and regains then maybe weigh yourself once a month and celebrate your losses then. I was and am a daily weigher but I could tolerate the highs and lows associated with that. Yes - the food volumes we can tolerate increase in the months and years after surgery. If you focus on a diet of protein and veggies you're not likely to go too far wrong.

You say above that "granted, they are right." Respectfully, your friends and family are 100% wrong and don't have a clue what they're talking about. Obesity is not caused by a simple lack of willpower. If it were as simple as eating right and getting some exercise, none of us would be here right now. You didn't supply your height and weight details, but based on the list of ailments you've mentioned, I'm guessing you have a significant amount of weight to lose, like well over 100 pounds. It's very hard to lose more than a small percentage of your body weight and keep it off. About 95% of people who lose weight through calorie restriction and going to the gym regain the weight. Not because of a lack of willpower, but because there are complex systems in our bodies that work hard to keep us at a weight our bodies have decided is right for us. Unfortunately, in those of us with obesity, that desirable weight has been set much too high. Fighting against that is extremely difficult. That's not to say that surgery will fix your issues with food. It won't. You will still have to do all the work on your mental and physical health to lose the weight and keep it off. You will have to eat right. And exercise. And work on your food addiction by modifying your behavior, hopefully with the help of a professional therapist. You'll need to track your food intake for months if not for life, and there will probably be foods that you will never be able to eat again, either because they make you ill or because they trigger bad behaviors that you need to avoid. You'll have to learn a whole new way of cooking and eating. You'll have to be careful of transfer addictions. Sometimes you will feel left out when everyone else can eat things and you can't. You'll have to defend your choices to people who have no idea what they're talking about and no filter on their opinions. Surgery is frickin' difficult. But, it's effective. It changes your hormonal balance to make your body want to be at a healthier weight. If you follow the rules, you will lose weight and keep it off. Your physical health will improve. Your body will feel better. But you do have to follow the rules, and the rules are challenging. You have to be ready for it, and even when you think you're ready, it's common to make mistakes and to struggle sometimes. You'll need a support system and the confidence that you've made the right choice for the long term even when it sucks in the present moment. If you decide surgery is right for you, you will need to believe in yourself enough to look your family and friends in the eyes and invite them to either support your decision and help you, or else they can feel free to shove their negativity into the orifice of their choosing. This is your life, your body, and it's your right to decide what you need to live the best way you possibly can. No one else has to wake up with the pain you feel in your joints, hip, and back. No one else has to struggle through the day and have their options limited because of their size and health. No one else has a say in what you do to improve your situation. But I will tell you this. There are probably some people in your life who will not think this is true. They will not appreciate you stepping out of your role as the obedient one and standing up for yourself and not doing what they want you to do. They will feel threatened. They will not like it when you lose weight, and they will say mean and nasty things about how you cheated and took the easy way, because if you succeed at this, they will feel like it takes something away from them. They are the ones with the problem, not you. They may try to sabotage your efforts and make you feel bad about yourself. Again, they are the ones who are wrong. But that doesn't make it easier in the moment. So make sure you have people to talk to who support you. I wish you the best of luck. You're young and you deserve to have an awesome and long life full of good health and happiness. Don't let anyone else take away your chance at that. Finally, here is a video that I highly recommend to help with your decision:

I bought a treadmill because the nearest gym is 40 miles round trip from me. It just took me awhile to regain any kind of energy to get on it. I had someone today compliment me on the amount of weight I’ve lost since she last saw me in January or Feb. it was great to hear because I don’t think I see it on myself the way others see it. I’m sure once I get down some more I will. WTG on your weight loss too!! Eating is definitely a work in progress and can be a chore now.

Hello Everyone: I am getting my gastric band removed on May 17 and going with the gastric sleeve as per my surgeon's suggestion. He feels I will do well with it. I managed to lose 150lbs with the band ( surgeon told me it was not a typical result). I started having trouble getting food to go down. I guess I created a pouch and have a lot of scar tissue. Had to have all the fluid taken out of the band while I was in Nevada. The surgeon performing this (not easy to find anyone in Las Vegas who would even look at removing the fluid) advised what was going on. There are only 5% of surgeons still installing the band in the entire country. Many, many complications with it. I was fine until a year ago. Had fluid put in (the doctor back home put too much in), then the chest and back pains started. Food would go down sometimes and sometimes not. I managed to regain 15lbs. Struggling every day. I hope the revision to the sleeve will be a success.

I have read through so many posts on the topic of revision and see that people are mostly very happy to have gone through with it but a lot of them seem to be due to regain, hernias or bad GERD so my query is a bit different. My surgeon has mentioned a number of times to me about doing a revision from sleeve to bypass as following my surgery a year ago I had bad reflux. When I was released from hospital in November I was prescribed two pantomed (PPI) a day and since then GERD has become less frequent, for the last three months I am now on just one a day and I don't consider that the GERD impacts me, maybe once a week I might have a bit of gas, but the surgeon was still suggesting bypass and at my last appointment (in May) even mentioned that it would help me lose more weight, even though I was then just 5kg/11lb from the target he gave me and still only 10 months post-op. Given all the complications I had after my sleeve surgery in July last year I am very hesitant to have any further operations as I don't know if it was the medical teams fault and/or my body. If it is something that the surgeon says is needed I am torn between asking for a referral to another hospital or risking his team again in the belief that they would be extremely careful with me after everything that went wrong the year ago. So far, in just under 12 months, I have lost 47kg/103lb and am only 7kg/15lb away from my goal weight (3kg from the surgeon's target) and therefore I was wondering, from those who have gone through the revision process, if you think it is worth it? For me the only benefit I see is that I would be able to stop taking the daily pantomed, so not sure that is worth risking another surgery for. I have not had a single dumping episode and for the last few months have been able to tolerate all foods without issue so am a bit fearful that the bypass may lead to a backwards step on those fronts. If my GERD is not impacting me is there any other long-term benefit to the revision when I am still (slowly) losing weight? I don't want to go more than a few kg below my goal weight as it is not a good look on me. If there is no drastic weight loss, given so much has been achieved already, is there hair loss with the revision? Any insights would be appreciated as I have my one year check-up in a couple of weeks and I want to be prepared for when the topic is raised

I completely understand your frustration, in the last 8 weeks I've lost and regained the same two pounds. I'm 9 months in..so very close to your timeframe. I read in my bariatric clinic handbook to contact the clinic if weight loss stops longer than 4-5 weeks. I have an appointment next week at which time I will be asking for answers. Like you, I am always at a calorie deficit, I watch every single calorie, fat, sugar and carb gram sticking to my 800 calories a day, 80 protein grams, 50 net carbs a day. My labs are "perfect"... So yeah I do understand, I'm sorry you're going through this, especially for longer than I have. What did your doctor recommend/say? As far as being cold, there are numerous posts here on the forum with other WLS patients discussing being cold all the time - do a search to find them. In fact, as I type this I have a heating pad on my back and an electric blanket on in front - its 56°F here too cold!!! Before surgery I would have been fine, I kept my heat on during the winter at 55° and was comfortable where as everyone else was chilly. So, its completely normal. I was wearing a long sleeve shirt in 76° sunshine the other day and was still chilly. So rest assured your being cold is completely normal! Let us know what your doctor said and keep us updated!

I use the Baritastic app. It tracks food macros and fluid intake. I track EVERYTHING that goes in my mouth, even condiments and coffee. LOL It helps immensely with staying on track. My Apple watch doesn't help with intake. It helps me remember to stand hourly. It counts my steps. It annoys me with messages all day. It reminds me to take my meds and vitamins. But it doesn't help with meals. Though there might be something to set in it to help with that? I just don't because my meal times vary a bit depending on when I wake up and eat my first meal. I highly suggest you get a pill case and dose out your vitamins for the whole week, or in my case, the whole month! A dietician can provide you with a list of supplementation or you can hunt down the ASMBS guidelines for your surgery, that's what most good dieticians use. It sounds like you may need to be watching your protein, fat, and calcium intake. Many people a few years out from the various surgeries start to show nutritional deficiencies if they haven't been keeping up with their protein intake and supplementation. Good hydration is important too. If you can, it would be wise to go have bariatric labs drawn, your GP can do this if you aren't still seeing your surgery center. A bariatric practice could do this too and would be good to follow up with if you are struggling with regain and getting back on track. You can do this!!

Hi! I’m having revision from VSG to RNY in June. I’m 52, and had the sleeve almost 10 years ago. I did well with the sleeve as far as no complications, but I regained almost all of what I lost, so here I am now. I’m older, hopefully wiser, and my reasons are different this time around. Best wishes to you!

So far I keep getting mixed information about the two procedures in terms of malabsorption. Do they both cause the same amount of malabsorption or does the MGB cause more malabsorption?? I remember my surgeon saying that life long supplementation is only needed for duodenal switch!!! And all other surgeries only need supplementation for the first couple of years only! Also read somewhere that RNY is really restrictive only. And 78% of the fat , 100% of the Protein and 100% of the carbs are still absorbed. And the huge loss of weight is only caused by restricting the calorie intake. That's why there is always a chance of regain several years later. Sent from my iPhone using the BariatricPal App

I absolutely LOVE to pull out my historical spreadsheets! thanks for giving me an excuse to do so!!! 1. Pre op weight, BMI or measurements 2. Surgery type VSG (Sleeve) October 24, 2018 3. Lowest post op weight, BMI or measurements and when it occurred 4. Maintenance weight, BMI or measurements and when it occurred Stabilized at about 115 lbs (BMI 21) around June 2020 and stayed that way for about a year or so. Unfortunately i don't have measurements for that time but i think they were similar to my lowest post op weight above. 5. Bounces (up or down) in weight, BMI or measurements and when they occurred around year 3 i averaged closer to 120 lbs (but rarely ever above 120), and have stayed that way until today (almost 6 yrs post op). This morning I weighed in at 119.4 lbs. 6. Methods used to maintain and what has/has not worked i track my food intake almost daily i weigh myself daily when i have access to scale (i also take my measurements once a month) i engage in regular exercise. i try to NOT eat to fullness (don't always succeed) if i want to eat something, i do, but i generally limit it to tastes/bites, vs full on meals. i generally ONLY eat things i really want to, and skip the stuff i deem "not worth it", as i consider it a waste of valuable stomach real estate. 7. How your life has changed (losing vs maintaining perspective) i eat carbs now lol (i avoided them like the plague during weight loss phase, and a year or so afterwards). its been a while for me know and i do notice that i am not as worried as i used to be about regaining weight. i think i've learned to trust myself in that i can make good decisions about my health and weight maintenance, and that i know i am flexible/resourceful/confident enough to make changes and adjustments WHEN things change. i guess that is it really, i am exponentially more confident than i was before: in terms of decision making, self-image, relationships, dealing with stress, all of it. I am so much more CHILL. Life is really good (plus im super HAWT, lol) 8. Words of wisdom/cautionary tales/stories of beating the odds Don't give into the angst. Don't try to do stuff that is beyond your abilities or desire. Don't compare yourself to others. Exercise. Drink water, Wear sunscreen.