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On June 8, 2018, EmblemHealth GHI also changed their criteria by "remov[ing] pre-surgical dieting prerequesite and statement that member must not have a life threatening condition". Of course, my surgical center didn't know this until I brought it to their attention yesterday (just as I am completing my six months of pre-surgical dieting and monitoring (I started the process in March). Of course, this is annoying for those of us that were stuck in the middle, but it's a good thing overall--since you're not going to rejected from coverage because of any weight gain or lose (or insufficient loss) etc. These changes are consistent with American Associate of Metabolic and Bariatric Surgery recommencations and position paper from 2016 and all the latest studies which show that these approval requirements are not supported by any medical evidence. To the contrary, the evidence shows these requirements are harmful. I expect more insurance carriers have changed their policies are will soon be changing their policies to fall in line.

Sometimes we feed the emotions, sometimes the feeding (and subsequent weight gain) leads to emotions. Your best tool to combat both scenarios is simply learning to separate food from emotions...which is way easier said than done. Sometimes I’ll down countless calories before I even realize I did it and usually just because I was bored or anxious. Personally, I’m working on mediation techniques and making a habit of planning and counting everything that goes into my mouth. If it’s not on my plan, what reason am I eating it? Meal plans are best made when you’ve got your best self in mind - Let the thoughtful, self-loving side of you decide what to eat...That way when you’re feeling impulsive and reaching for a snack it’s the perfect red flag. Then you can stop and evaluate - Am I in the right state of mind make this food decision?Am I hungry or am I (insert emotion here)? Is this food serving my goals? If you can answer those honestly and favorably, eat away! If not, delve a little deeper...But sometimes I'm way too caught up that I just have to walk away and do something else for a bit. I can revisit it later. Sometimes I have literal arguments with myself in my head over what to eat...it’s amazing the excuses I come up with, lol! Just take it one day, one meal, one bite at a time! You got this!

I cheat and will continue to cheat, I know that sounds crazy to some but I know that this is a lifelong marathon and not a race. I also know that as long as I watch what I eat, balance things out and not get to crazy that I will be able to moderate any weight gain if any. I now exercise more than I have in a VERY long time and find myself taking the stairs, and simply moving more than I used to. I eat pizza, chips, crackers, and even desert from time to time. I also am sticking to drinking 2-3 protein shakes a day two of which are supplemented for meals. I know as long as I keep doing what I am doing (and weighing myself to keep track) I will be ok, I have support around me as well as several others that have had the surgery and we all keep each other on track. I have worked hard to be where I am at and I am not going to let anything out there put the weight back on me!

I know how you feel. My surgery (sleeve) was 4/17 and I also have a mood disorder. I also take Lamictal and Prozac. My doctor (and I agree) that Lamictal doesn't usually cause much weight gain but sadly, lithium does, that's why I don't want to take it but my hypomanic episodes are few and far in between, but I do have depression almost all the time. Luckily since my surgery my depression has been much better, maybe from the weight loss and probably from increased exercise? I know with mood disorders change is big with us, making us manic or depressed quickly. My loss slowed too but I wasn't getting enough fluids at all and I also upped my calories and I've started to lose again. Feel free to PM me if you want

Thanks for sharing I gained about 45 lbs from April 2016 to November 17 so I know what your are going through. I had stopped exercising, eating way to many slider foods, stopped going to the DR. and pretty much stay away from this board. Kept telling myself that I would get back on track and did not seem to get motivated. Well my primary DR finally caught up with me and my blood sugar was out of whack and my a1c was 8.1. The one thing I did notice was when I finally got on track again that it has taken me 9 months to get off the 45 lbs so it seems the older I get the slower the weight tends to come off. As far as a fill go as I have mentioned before I cannot tolerate anymore than 1 cc in my 4 cc band. My Blood sugars is under control and my last A1c was 5.2 so health wise I am doing just fine. Your weight gain might seem like a lot to you and it might seem like your just "trudging along" Just do not stay away and check in when possible.

Wow! thankyou, great advice. I'm thinking I might try something similar. I started going to a gym 3 times a week 2 months ago and will keep that up but I'm basically eating good healthy foods for morning and lunch. it's when i get home I go off the rails and I sit watching tv diving into a bowl of popcorn or having bread. I could continue this pattern and closely monitor for weight gain and if it starts to creep up, then I'll have to pull back in the evenings, or try your approach with controlled days and not so controlled weekends. Thanks for the tips - as I said, never had to really hold steady with my weight before (my BMI is 40) so I dont want to go too far under either.

Here's what you can expect. You're going to be asked a serious of questions from either the HAMD or MADRS test for depression. You can look up samples online. A lot of people that suffer from obesity and have a BMI that qualifies them for surgery also suffer from depression. Many also have addictive personalities and abused food, drugs and/or alcohol in the past (or may be presently abusing). Having a history of depression or addiction does not disqualify you from surgery, but the psychologist need to show that you are being treated and that you can handle this procedure. They need to know that you have a support system in place to help you with this transition. Having this surgery is not going to cure all your problems--it's just going to make you thinner and PHYSICALLY healthier. If you gained weight because you have underlying issues, those issues need to be addressed (and you need to show that you are continuing to addressing them). That covers you for mood disorders, but they are also screening for other issues including personality disorders (borderline personality for example). People with borderline personality disorder (and other personality disorders) don't do very well with surgery or the changes that occur after surgery. If you are suffering schizophrenia, you may also have issues post-op. This will likely show up in your medical history, but you'll be screened anyway. If you have bi-polar depression, you can have problem coping with this surgery and many of the anti-psych drugs used to treat bi-polar depression cause weight gain, and that would need to be taken into consideration. I am not sure that any of these issues alone will disqualify you from surgery, but you're going to need to show that you're conditions (if you have one) is well controlled for at least a year and that your treating physician believes you are psychological prepared to handle the stress of surgery and the changes that it may bring. Aside from questions that are probing for the above issues, you'll be asked specific questions to determine whether you have considered the consequences of having this surgery and how it may effect your life. I would just answer these honestly. This is what I said in my interview (paraphrasing) 1. Why do want weight loss surgery? (asking to make sure you have realistic expectations and have a healthy outlook on this process) I don't want to have weight loss surgery. I wish I didn't need it, but I do need this surgery to become a healthier person. The cosmetic benefits are secondary. If the surgery just made me a healthy person, but I stayed just as fat as I am now, that would be fine too. However, that's not the way it works and I need to lose this weight to be healthy. Being fat is one thing, being sick and dead is another entirely. 2. If that's the case, Have you Tried Dieting and Exercise to lose the Weight? Absolutely, I have been dieting most of my adult life (or was between diets). i can lose weight, but keeping it off has been a problem. Most recently I went on a strict doctor supervised diet where I lost 40 pounds, but could never get below a certain point. I did everything by the book but just hit a plateau. After two months, it became frustrating and I started to slip. Within another 6 months, I gained back the 40 pounds I lost and then some. That's been the story of my life. Dieting and exercise just doesn't work for me or almost anyone that has more than 70 pounds to lose. That's not my opinion, that's what virtually every study shows. 3. Why do you think you gained this weight? Everyone is going to have a different answer, but in my case I gained the weight a little at a time. I was thin as a kid. Even in my early 20's, I worked out every day and watched what I ate. I even had a six pack for a while. Once I started working, that disappeared. I started gaining a few pounds every year. Then I would diet to lose the weight and it would creep back on quickly after I fell off the diet horse (with a few extra for good luck!). I am now 44, so if you take a normal person my height with a normal weight at 24 and add 4 pounds a year on average you end up being me. It wasn't noticeable at first, but it sneaks up on you and suddenly you realize you're the fattest guy in the room. (obviously, this doesn't apply to everyone--but that's how it happened for me). 4. Can you commit to changing your lifestyle after this surgery? Absolutely. It's not going to be easy. Nothing about this process is easy, but I either commit to change or I am going to have a very short life. I have two little girls and they need their daddy to walk them down the aisle when their time comes. I also need to do this for myself. I love being alive and I want to feel healthy again. 5. How does your family feel about you having this surgery? My wife is nervous, but supportive. My mom is behind this 100% and my dad is very nervous about it, but he supports me too. I have told anyone else in my family. I think they would support me, but I just don't feel like they need to know at that point in time. 6. This type of surgery can change the way you feel about yourself and the people around you. How do you think it will effect your relationship with your wife? I believe it will improve our relationship. My wife is a thin person, who watches what she eats. I know she loves me, but she's not happy that I am heavy and she is scared about the effects that being a diabetic may have for me. Being heavy (and diabetic) also can, in my case, cause sexual side effects for men and I think that losing the weight can only help me in that regard. I think you get the picture. Don't lie, but they want to know that you understand what you're getting into and will be able to handle the difficulties and changes that come from surgery. Good luck!

Your surgeon knows your medical history. They have read through your psych eval and blood work. The chioce is ultimately up to you. Since you asked about the sleeve I will give you my two cents. Each of us are more than the statistics. I lost 120 pounds in 6 months with the sleeve. My goal was 140. I am five years out and maintaining in the 130s. Nothing magic about the bariatric process. Follow your plan and behavior changes. Weight gain can happen to any type of surgery: Small or large amounts of weight. After a year you may see a ten to twenty pound bounce. It can be lost again. Maintaining is if you have a gain you go back to your bariatric plan and get the weight off. If you can't change your relationship with food and exercise you will not have long term success with any type of surgery. People with bariatrics have revisions due to different issues. (medical, not following their plan, mobility and eating disorders etc) Sleeve realities: Things to know. (1) less chance dumping syndrome if you eat sugar. (some will experience it) If sugar is an issue for you, you might want a different type of surgery. Lots of debate about stomach stretching. (yes it happens but it's rare) I am going to pass on reading any following angry posts about stomach stretching. (2a) Your restriction will be less as time passes. This is normal with the sleeve. Your stomach has not grown back or stretched. It's a new feeling of stomach capacity. It's rare to see revision due to stretching. Think of how much food you would have to binge and force down in one sitting to cause stretching to the point of revision. 2b) Many people confuse grazing with stomach stretching. Grazing is eating several meals throughout the day healthy or unhealthy foods. Your calories will seriously increase. It is as if you didn't have surgery at all. (google it) I also see some surgeons take advantage of gain due to grazing. It's a money maker to do another surgery. This is life long change with any type of surgery. It is still work after you get to gaol.

I am on prozac have been for years and it never caused weight gain for me.

I take Paxil for anxiety/depression. Before I started it, I didn’t want to leave my house. It’s helped me so much, but it’s also got the highest incidence of weight gain of the antidepressants.. I tried Celexa. It it didn’t do anything for me.

For those whp don't mind sharing, I'd be curious what med cause the gain. I know I started gaining when I started taking Celexa. I love what its done for me, but hate the weight gain.

I am fairly new into the process. I have completed my psych eval and will be doing my EGD on Wednesday. Ever since my first appointment, I have eaten well and exercised due to my doctor telling me that he wants me to stay the same weight or lose weight. Well I weighed myself this morning and I have GAINED 7 pounds since seeing my doctor last and i do not know why! I am freaking out that when I see him on Wednesday, he will tell me I cannot have the surgery. Anyone deal with something like this and what was the outcome?? Thank you all in advance!!!

So I found a plan: Dr. Johnson's Alternate Day Diet (based on a lot of the research from Walter Longo, Krista Varady, et al and it was one of the original alternate day fasting diets with caloric restriction that came to the public. He's a doc out of LSU. And they found it helped their asthma patients, and helped with wl too. So I added it to my low carb principle. I'd lost from 325 to 160lb doing Atkins '72. But I'd been stuck for years at 260lbs. Nothing I did could budge it. I'd go up or down within a few pounds. My bloodwork was amazing, but I was stuck. I added it into the mix and started losing. (I had a hysterectomy and so was very hormone deficient and imbalanced hormonally.) I'd lost 30lbs when they discovered my breast cancer. Well I immediately said, "Fu*k It All!" And I went on my "Make-a-wish Diet" where I ate ALL. THE. CRAP. and I waited for all of my test results and to get into an amazing oncologist. It took a little over 2mons. In that time, I had a 25lb regain eating my MAW diet. And the oncologist was horrified. Cuz that can make cancer grow quickly (gaining after dx). So he said to get back on it. And I fasted all through chemo and radiation. I essentially went from 260lbs down through chemo, 1st surgery, radiation and lost to 218lbs. Incidentally, the chemo + fasting did something my onc had never witnessed. I had a high grade aggressive tumor that is historically a "lazy eater" of neo-adjuvant chemotherapy. Meaning chemo will shrink the tumors a little bit, and stop/alter the cells...but you don't usually see complete remission or regression. They saw that my tumors shrank 60% with neoadjuvant chemo. And the path report showed that although there were some remaining living cells within my 12 lymph nodes (1 had pierced the node)--all the cancer cells showed genetic modification by the chemo which is unusual. So the research shows this to be true...fasting during chemo can be protective of healthy cells and helps boost the effectiveness of chemo and radiation. When I got down to 218lbs they worried about my radiation levels and I was getting huge burns/open wounds. So they told me to stop losing. I went back to a "more normal" Zone style diet 30-30-40. And maintained for a few months. Then after all my reconstructions and healings slowly began to regain up to my most recent 287lbs. The onc was freaking out and tried for 2 years to talk me into WLS. I resisted and pretended I didn't notice the weight gain, even though by that time, I was essentially bed-ridden. (I'm still on a cancer drug and will be on it for 10 years total. It puts me in "super-menopause" and shuts down my hormones as much as possible. So I'm extremely hormone deficient/imbalanced.) I haven't been doing alternate day fasting anymore. But yeah, you might be able to say I've been doing IF, cuz you know, at 650-850, I'm already in de facto keto from calorie reduction--a form of fasting, and I'm living in a full-time calorie restricted state. So I find no reason to add even more alternate day IF into the mix at this point, until I'm at a more normal maintenance level caloric load. Although, I do naturally fast for 12-14 hours (with breaking the fast with 3oz of Premier Protein in my coffee each day). So you could theoretically claim using your definition, that I've been IF since May 2017 when I weighed 287lbs. LOL. I get up, have protein in my coffee as creamer. Then I eat breakfast between 10-11am. I stop eating around 8-9pm. Today I weigh 164.6lbs. Sorry for the book!!

So today is August 19th and I am now over 4 months post VSG. I thought I would write an update on a few things that I regularly see asked on this forum. 1. Hair loss- I am definitely shedding more, and it is pretty annoying, but not alarming. I noticed it start at about 3 months out, and decided to add another protein shake to my daily intake. I figure it will last another month or two, based on what I have seen other people post. Honestly, though, it is not something I am worried about. I am not having huge clumps of hair fall out, and thank goodness for that! I have really fine hair already, LoL. 2. Vitamins and water- I take my vitamins and drink at least 64 oz of water daily. Those are two things I don't mess with. The one supplement that is not included in my vitamin is iron though, and it tends to give me stomach issues. I am able to regularly eat 1200 calories per day, and my blood tests have come out normal, so I am on kind of "wait and see" pattern for that one. 3. Caffeine and soda- The food police will not appreciate my moment of honesty here. I do drink caffeine but it doesn't bother me at all. I drink the grape flavor of crystal light, and the small amount of caffeine helps me get going in the morning. Yes yes, I know that not all doctors approve of it, but I need a boost. And for soda, even before surgery, I had a calorie-free soda at night as a "bedtime snack". It was always my reward for drinking at least 100 ounces of water (I miss being able to chug water, lol). Well, I now have a small glass of sprite zero at night, as long as I hit my water goals beforehand. 4. Portion sizes - I feel like I can eat decent size portions, similar to a kid-sized meal. I see people post that they can only eat 2 or 3 bites of food, and that just is not me. For example, we eat breakfast tacos (with low carb tortillas) often. I can eat just over half of a breakfast taco. If we are eating crispy beef (or turkey) tacos, I can eat one whole one. I can also eat a small chicken breast, turkey patty, fish, etc. Honestly, I eat just about everything, although I make it a habit to make healthy choices most of the time (I am totally eating half of a strawberry shortcake cupcake as I write this, but don't tell anyone, lol). I still don't like rice (nothing new), and definitely can't eat fried foods anymore. I had issues with that after I had my gallbladder removed (5 months before surgery), and it is even worse now. 5. Daily caloric intake - I am eating roughly 1200 calories per day and I am losing weight really quickly. I have lost 45 pounds since the day of my surgery, which is a good amount considering I started with a lower BMI (38). Today I weighed in at 184 and my personal goal is 170. My doctors think I will easily surpass that, but I would be content at just hitting that weight. I worry about that though, because my doctors want me to lose more. At a height of 5'6, they prefer that I weigh 140-150. If and when I get to 160, I will increase my calories to maintenance , and hopefully stay between 160-170. 6. Excess skin- I am doing ok with this right now, although my arms look like wings at this point. Saying that, they have looked this way for years from previous weight loss and weight gaining patterns, so I don't contribute it to my VSG. I may consider having surgery in the future, but not until we are done having kids and I build my muscle back up. As for the rest of my body, I am doing well, no issues to report. I hope that it remains that way, but time will tell. I think at this point though, even losing 20 more pounds will not make enough of a difference to justify plastics (outside of my arms).

If you started the antidepressants after sleeve surgery you will have that initial boost in hunger and weight gain, those are noted regular side effects, ones that should have been well explained. If you had the sleeve after you were already on antidepressants you may need to speak with your clinician about modifications to accommodate your weight loss in addition to a therapy aspect like the suggested OA. Either way, your mental health team needs to be looped in (and don't go off cold turkey, that causes tons of issues) Tracking/logging plus eating clean again sounds like a wonderful plan and its nice to have a supportive partner.

I had my band for 5 1/2 years and didn't have any problems (except weight gain) until about 8 months ago when I went to get a fill. The doctor couldn't find my port which is never been an issue in the past. Turns out my port was turned around and underneath scar tissue. Moving forward on July 23rd approximately 4 weeks ago I had my lap band removed and revision to the sleeve. In my case my lap band did not come out easily for the doctor. It was bolted in with mesh, and attached to my abdomen. My 45-minute surgery took about 2 hours and 15 minutes. But there were no complications other than that and my doctor was able to continue with the sleeve gastrectomy right away. I'm telling you this just to make you aware I did have pain longer than most people do, in my incision mostly. I was pretty weak for about two and a half weeks. Tomorrow will be 4 weeks and I finally feel almost like myself. It was so worth it though. I had a stall after 2 weeks, but I'm now down about 24 pounds since my surgery date. Good luck, you'll do great! Just trust your surgeon! Sent from my SM-G935T using BariatricPal mobile app

Hello everyone I'm posting this because I'm starting to feel really alone. I'm one month away from hitting my first year and I'm feel like I did nothing. Let me explain.. I have depression and I have to take meds for it everyday for the rest of my life. I feel like mentally i'm doing so much better. The one thing that is making me have big set backs is the meds and what they are doing to me. At this point in the game the meds have taken over and I can stop eating. I eat non stop even when I tell myself NO!! I have been up and down (mostly up) with my weight. I eat so much that it isn't even funny. I know my sleeve still works because at some point I stop and i'm full. Also the stuff i'm eating is sooo bad ( soda, candy, chips) . I try everyday to move forward and not fall back down the same road. I'm starting to take one day at a time and not be so down but it's so hard when you work so hard to get something and now you're messing it up. My partner and I are starting to count calories in hopes that will help me get back on track. I want to fix it. If I can fix my mental I can fix my physical . Please if anyone is having the sam issues as me let's talk being it suck having to feel alone in a place where there are so many of us.

So why do patients face longer wait times to receive bariatric surgery compared with surgeries to treat other life-threatening conditions such as cancer and heart disease? . One big reason: Many insurance companies (including Medicaid) require those seeking bariatric surgery to lose weight before their surgery, even though there's no data or evidence to prove preoperative weight loss affects long-term success. Patients with complex medical histories enrolled in Medicaid experienced the longest delays. Nonwhite patients also waited longer... Smokers and patients with high cholesterol or psychological disorders also had longer wait times for bariatric surgery. https://www.sciencedaily.com/releases/2018/07/180730090141.htm How long did it take before you had your surgery? How long did you wait calculated from your first visit to your date of surgery? What requirements or obstacles did your insurance carrier impose? Supervised weight loss attempts? Were you told that you had to lose weight during those attempts… and that any weight gain would impede your path to surgery? Did you have to meet with a psychologist, nutritionist, and attend required bariatric surgery classes before your surgery was submitted to your insurance for surgery approval? For those who were self-pay… did you circumvent your insurance carrier because of the obstacles/delays imposed by your carrier, because your BMI or other insurance mandated requirements did not make you “eligible” or because you had no bariatric benefits?

To the weight loss surgery patient slider foods are the bane of good intentions and ignorance often causing dumping syndrome, weight loss plateaus, and eventually weight gain. Slider foods, to weight loss surgery patients, are soft simple processed carbohydrates of little or no nutritional value that slide right through the surgical stomach pouch without providing nutrition or satiation. The most innocent of slider foods are saltine crackers, often eaten with warm tea or other beverages, to soothe the stomach in illness or while recovering from surgery. Understanding Slider Foods The most commonly consumed slider foods include pretzels, crackers (saltines, graham, Ritz, etc.) filled cracker snacks such as Ritz Bits, popcorn, cheese snacks (Cheetos) or cheese crackers, tortilla chips with salsa, potato chips, sugar-free cookies, cakes, and candy. You will notice these slider foods are often salty and cause a dry mouth so they must be ingested with liquid to be palatable. This is how they become slider foods. They are also, most often, void of nutritional value. For weight loss surgery patients the process of digestion is different than those who have not undergone gastric surgery. When slider foods are consumed they go into the stomach pouch and exit directly into the jejunum where the simple carbohydrate slurry is quickly absorbed and stored by the body. There is little thermic effect in the digestion of simple carbohydrates like there is in the digestion of protein so little metabolic energy is expended. In most cases patients in the phase of weight loss who eat slider foods will experience a weight loss plateau and possibly the setback of weight gain. And sadly, they will begin to believe their surgical stomach pouch is not functioning properly because they never feel fullness or restriction like they experience when eating protein. The very nature of the surgical gastric pouch is to cause feelings of tightness or restriction when one has eaten enough food. However, when soft simple carbohydrates are eaten this tightness or restriction does not result and one can continue to eat, unmeasured, copious amounts of non-nutritional food without ever feeling uncomfortable. Many patients turn to slider foods for this very reason. They do not like the discomfort that results when the pouch is full from eating a measured portion of lean animal or dairy protein without liquids. Yet it is this very restriction that is the desired result of the surgery. The discomfort is intended to signal the cessation of eating. Remembering the “Protein First” rule is crucial to weight management with bariatric surgery. Gastric bypass, gastric banding (lap-band) and gastric sleeve patients are instructed to follow a high protein diet to facilitate healing and promote weight loss. Bariatric centers advise what is commonly known among weight loss surgery patients as the “Four Rules” the most important of which is “Protein First.” That means of all nutrients (protein, veggies, complex carbohydrates, then fat and alcohol) the patient is required to eat protein first. Protein is not always the most comfortable food choice for weight loss surgery patients who feel restriction after eating a very small amount of food. However, for the surgical tool to work correctly a diet rich in protein and low in simple carbohydrate slider foods must be observed. The high protein diet must be followed even after healthy body weight has been achieved in order to maintain a healthy weight and avoid weight regain. Feature courtesy of BariatricPal.com

I’m feeling a little depressed of lately and have been eating my emotions away.. I’m 1 year post gastric sleeve i only lost a total of 70lbs i was hoping to loose at least a 100 or more based on most people i know lost 100 or more. I only lost 70 but i know why because I’ve been eating off way off... In addition i gained like 6-7lbs i was 268 now I’m 274.i started at 243 I have to get back in track i got really excited that i can eat and been snacking on a lot of nuts plus i wanna work out more haven’t done it consistently since surgery.. i also wanna do the keto diet have anyone tried keto or intermittent fasting after gastric sleeve... I know i ‘m my own downfall when it comes to my diet!!!! I’ve been thru so much with surgery and complications i dont wanna gain it back i need some motivation and some inspiration... Feeling so defeated

I’m feeling a little depressed of lately and have been eating my emotions away.. I’m 1 year post gastric sleeve i only lost a total of 70lbs i was hoping to loose at least a 100 or more based on most people i know lost 100 or more. I only lost 70 but i know why because I’ve been eating off way off... In addition i gained like 6-7lbs i was 268 now I’m 274.i started at 243 I have to get back in track i got really excited that i can eat and been snacking on a lot of nuts plus i wanna work out more haven’t done it consistently since surgery.. i also wanna do the keto diet have anyone tried keto or intermittent fasting after gastric sleeve... I know i ‘m my own downfall when it comes to my diet!!!! I’ve been thru so much with surgery and complications i dont wanna gain it back i need some motivation and some inspiration... Feeling so defeated

But questions I have (i guess for a NUT/RD) is won't waiting to add those thing later cause the rebound weight gain everyone fears? But if you add it now , you would have never lost that extra weight from withholding it and causing the added psychological damage as well? Am I reaching?

I personally log it all and the times bc there may be certain foods contributing to weight gain and/ or bloating. they may have added ingredients im not paying attention too, so i can look back and see for sure if there is a consistency.

Because of my weight gain and my BMI i was approved for the revision. I am also having my hiatal hernia re-repaired and my gallbladder removed. Both of which have been causing my a lot of reflux, nausea, pain and at times vomiting.

I am 53 and will be sleeved tomorrow morning. I am so so happy to see others my age have such great success. I was banded in 2011 due to early menopause weight gain that I could not seem to lose and an uncontrollable appetite. I would eat and be able to eat again in 10 minutes. I knew what this was leading to since I seen others in my family suffer from illnesses due to obesity. I just did not want to go down that path but could not do it on my own. The band worked for a short time. I lost 50 pounds before it started giving me issues. Ultimately I just was so tired of slimming I wanted to get it revised. So here I am! I pray all of us have great success and health in the future.