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Hi Everyone 19 days till surgery. I am so excited yet feeling a bit overwhelmed. I feel overwhelmed at the thought that this could really work. After all the failed diets, fads, and programs. Is this really it? I just cannot imagin. Well I can. I weighed 160lbs before my son was born, after that the weight gain didn't stop till I hit my hugh of 173. Today I am 165. Anyone else feel that feeling of "this is a dream"? I am so excited just...you. Thank you to everyone who shares. It is inspiring?

The belief that WLS will prevent one from recurring weight gain is a complete myth. You still have to do the right things to achieve it. Not over-eating (depends what your eating as well), maintaining a good physical workout routine etc. You CAN over-eat with the band and any other WLS. It's not fool proof, so people, please don't fool yourselves.

Did you surgeon give you an idea how much you may be expected to lose over the weeks/months? My surgeon didn't have any expectations (or if he didn't he didn't share them with me). I didn't set myself an amount to lose each week or month, I just kept to my post op guidelines. If I didn't lose one week I knew the scale weight would catch up. Weight loss after surgery is a bit fraught with danger, some people expect to lose a lot of weight quickly, but the reality is a lot different. There is the post op weight gain from iv fluids and inflammation, there are stalls along the way that could last from a week to many weeks, sometimes there will be temporay gains due to various reasons. Some experience a stall within weeks of the surgery....the infamous three week post op stall...it doesn't always occur at three weeks out some experience it a little quicker for others it may be delayed. Some people are fortunate enough not to experience stalls in the first few months. Generally each of the surgeries has an average weight loss after year 1, year 2 etc, but some people will have lost less than that, others will have lost more than the average.

@@Tootsietoes Are we all adult's here? I have no Idea why I'm even responding.. The goal healthy. Whatever that may look like for each of us. You asked..."Does it bother you that someone could choose to get the surgery based on the idea that portion control, not food, is what makes you fat?" Never bothered me. I'm not here to rescue anyone. Good luck to a person that ate all their meals as cheese cake. Restriction alone is not a one size fits all. Your food choice will effect your outcome. I see - People looking for permission to go back to old behaviors. As long as they are happy..... that's fine. You are happy with your outcome right? Others are not so happy with weight gain. Some come here to get back on track. I would never tell them to eat what ever they want and all will be fine. That's just me... The majority here are new. I will direct them to proven best practices.(Their program) Not a one size fits all. Off the top of my head. You will see a program changes with people with health issues, complications, above average fitness levels, mobility issues and maintenance ... I'm sure their are more reasons.

During my initial consultation, I wanted a sleeve. My family was very anti-sleeve because it is permanent. My doctor actually agreed, saying my health was fine and that I didn't need to lose so much weight that I would need a permanent surgery like the sleeve. When I saw my doctor last, I asked about revising to the sleeve as I have concerns about the band longterm. She said again that if I was having no problems, I did not need to revise. Maybe the weight gain since then would change her mind? In the band's defense, despite not being great for actual weight loss, I did not experience many of the horrible complications I have read about online. My gallbladder actually had nothing to do with the band, but with years of extreme high protein/low carb dieting and quick weight loss. Still, I want to lose weight! Maybe I will see what she says. I don't really have time right now for a revision, but I want to be healthy and if that is what it takes... It is hard because she is so glamorous and I can really tell when she is disappointed. Well, I worked up the courage to reschedule the appointment I cancelled this week. I have one in a few weeks. Maybe by then I will have lost a couple pounds from restricting calories? Yeah, that feels right to me! I am shooting for that as I find it difficult to meet Protein requirements (and be a pleasant, functioning human person) at 600-800. If I find that I'm not losing weight, I can restrict down.

Hi all, so I have a question because I'm freaking out a bit. The day off my bypass 13 days ago I went into the hospital weighing 275lbs. After surgery my weight went up 10lbs while still in the hospital which I understand is from the IV fluids and what not. However after coming home, I dropped to 264lbs and in the past three days I have gained 3lbs. I know that's not a drastic gain but I'm still concerned. Has anyone else had weight gain after leaving the hospital during the first couple weeks post op ? Sent from my Pixel using BariatricPal mobile app

I agree with you I think that we all need to work on the reasons we became out of control with food and seek help out in reguards mental aspect I am also having problems with weight gain .

I'm totally with you! I went to an orientation when reality started to hit me in the face. If I don't do anything to get my weight gain in control then I'm doomed to a spine, knees and ankles that will reduce my quality of life & I got 2 kids & a husband depending on me. I am scared sh*tless about going under anestsia(sp?) but I guess I am finally more scared to gain another 20 lbs. because I won't fit in my clothes or in regular movie theater seats...how embarrassing!

A bypass is usually revised to a sleeve if the bypass fails: weight gain, unmanageable vitamin malabsorption issues, excessive dumping complications,... Much like a sleeve can be revised to bypass because of weight gain, GERD, etc, As others have said, any weight loss surgery can fail if you don't make permanent changes to how, what & why you eat. Post surgical benefits like loss of appetite & your restriction don’t last. They should help you to kick start your weight loss & give you time to assess your eating & establish new eating habits. Sounds like you relied on the side effects of your bypass to influence what you ate. I’d expect your bypass would have failed sooner if you didn’t experience dumping (50-60% don’t with bypass). You mentioned your tummy has stretched. It does because it is a muscle & stretches & contracts. Can’t believe any doctor would say it can’t. Consistently eating larger portions will cause it to stretch more & contract less. But is your tummy as large as it was before you had either surgery or about the size of someone who never had a weight issue? The success you have with either surgery is dependent upon you, with consideration of any complications you may have of course. We all have our reasons for choosing the surgery we did & the effort we put in to make changes are reflected in the success we have or didn’t have. Excluding the life changes that can sometimes sabotage our intentions. I chose sleeve because of the lower risk of malabsorption & dumping. I lost all my weight & more. I don’t eat like friends & family who carry weight. I don’t eat exactly like friends & family who never carried weight either. I have to work a little harder & listen more carefully to my body (what it needs, how it reacts, etc.) because it’s easier for me to gain weight. I’m sorry you are unhappy with your revision.

Your plan should mention something about weight gain. My plan required an exercise program with documentation. Sent from my SM-G530T using the BariatricPal App Guideline says "there should be no net weight gain". I hope that means over the entire 90 day process. It's not that specific so I am keeping my fingers crossed and was wondering if anyone else had experienced any issues. Sent from my SM-T230NU using the BariatricPal App

hi, i'm brand spankin' new to the forum, yaaay me, lol, i have tons of questions just like any newbie, i'm getting banded ( am i using the correct lingo? lol) on july 24. ok anyways so i have to start my pre op diet on thursday, and i'm trying to slowly start into it now...so that i don't have some psycho pizza craving thursday night...ok now my question(s) my doctors office recommended myocel to use as a protien supplement/shake thing...sounds delicious! but i'm wondering if i could just use like a high protien slim fast or Optifast...you know something already premade? and i'll contact the office later but for those who did a pre op diet, is it just sticking to a low carb diet? and by low carb does it work the same way as atkins like i could have low carb tortillas because you subtract the grams of Fiber, etc....or is is seriously strict like nothing that even looks like bread, lol so here's my story. ok well anyways i'm totally excited about getting banded! i have been sooooo opposed to weight loss surgery, i was so active in my teens and early 20's i was just like oh i need to eat less, and exercise more...yeah i'd lose 40 gain 60, lose 20 gain 30, thats' the story of my life...i was sooo patient...but how many times can i bust my butt at the gym for a week lose 2 lbs, only to gain it back on one bad weekend...i believe that weight loss should be slow, but dang why does weight gain have to happen so fast!!! so now at a lovely 285-290 lbs and umphteen million diet tries and failures over the years....i think the band is just what i need...i know the weight loss is slow, i'm sick of being "fat" just as much as the next person, so yeah i thought about gastric bypass, um yeah for like 2 seconds i'm like, cutting what? putting what where? yeah the gastric bypass people will look awesome for the xmas party, ...but i'm not looking at where i'll be in december, i'm thinking wow, imagine where i'll be next july! holy cow! i'll be on a lap band commercial, and wearing shorts on spring break! ok expect many more super cool post from me! hmmm now to find a nice little tracking/ticker thingy thanks guys! nic

I'll be 57 or 58 by the time I have it done, and my experience is just like yours...menopause kicked me into weight-gain overdrive. I'm thrilled to hear it was easy going for you. Do you mind if I ask where you had it done, and what your experience was before/during operation? Thanks so much in advance.

If you struggle with obesity, you probably already face or are worried about getting a variety of health conditions, such as heart disease, high blood pressure, arthritis, and asthma. Type 2 diabetes is another obesity-related condition that can affect you and lead to scary complications if you’re unable to control your blood sugar. You can use diabetes medications to help control your blood sugar levels, but often, weight loss surgery and the right diet can be even better. Reminder: the Importance of Diabetes If you don’t have diabetes, someone in your family might if obesity runs in your family. You may remember a parent, aunt or uncle, or grandparent who had diabetes and suffered from complications. 29 million Americans, or 9.3 percent of the population, have diabetes, or high blood sugar, and most cases are linked to obesity. Type 2 diabetes is the seventh-leading cause of death in the U.S., but it gets worse. It’s a risk factor for heart disease and high blood pressure, stroke, and high cholesterol. Uncontrolled blood sugar can lead to kidney failure, blindness, infections, and amputations. In total, the U.S. spends about $245 billion per year on diabetes. Medications for Diabetes Diabetes medications can help keep your blood sugar in check in various ways. The following are some common types of diabetes medications. Increase insulin sensitivity. Reduce the amount of sugar your liver releases to the bloodstream. Increase insulin production. Prevent the kidney from reabsorbing sugars. Slow down metabolism of sugars and starches. Diabetes medications help, but each type has drawbacks. They can cause weight gain, increase your risk of infections, harm your heart, and lead to nausea and vomiting. Unless you’re on a good health plan, these medications can also be expensive. The Effects of Weight Loss Surgery on Diabetes When considering weight loss surgery, you probably think about the number on the scale, how nice it will be to shop at regular clothes stores, having more energy, and improving your heart health. It turns out that weight loss surgery has a big effect on diabetes, too. People who get weight loss surgery often see their blood sugar levels drop and are able to decrease their medication doses or get off of medications entirely. You’d expect to have improvements in diabetes if you lose a lot of weight after weight loss surgery. After all, your diabetes was probably caused by obesity. Whether or not you get surgery, you’re likely to have better control over your blood sugar levels if you lose a lot of weight. However, it turns out that weight loss surgery has a bigger impact on diabetes than what you’d expect just from losing weight alone. In some studies, patients have had their blood sugars lowered as soon as a few days after surgery! In just a few days, you can’t lose enough weight to explain the drop is blood sugar. There must be another explanation. As it turns out, researchers do have a lot of theories about what causes the health improvements so quickly. It may have something to do with the way your body processes carbohydrates. There could be increases in insulin sensitivity. Multiple hormones are probably involved. Researchers don’t know all of the reasons for sure, but these results are pretty consistent. The gastric bypass is most likely best at resolving diabetes quickly, following be the vertical sleeve gastrectomy. The lap-band isn’t as effective, but lap-band patients do tend to see at least some improvements. Each type of weight loss surgery has its own advantages and disadvantages, so be sure to ask your surgeon for advice. The Weight Loss Surgery Diet and Diabetes Surgery is only part of the solution to controlling diabetes or preventing pre-diabetes from developing into diabetes. If you want maximum benefits and lasting effects, you also need to take a look at your nutrition. For weeks, months, and years after weight loss surgery, your diet will largely determine your weight loss and blood sugar levels. Fortunately, the weight loss surgery diet is also a diet that can lower your blood sugar levels. First, stick to your low-calorie diet. If you’re not counting calories, serve yourself only the portions and types of foods that your surgeon allows. The low-calorie diet lets you lose weight and as you do, you’ll find that your blood sugar is in a healthier range. Next, there’s the protein content. You already know that you need to focus on protein on your weight loss surgery diet. It keeps you full to help you lose weight, and prevents symptoms of protein deficiency. Another benefit is that it doesn’t spike your blood sugar and insulin levels like carbohydrates do. When you eat fewer carbs and more protein, your blood sugar levels will be more stable. There are a few other ways you can plan your weight loss surgery diet to also be healthy for your blood sugar. Better yet, these tips will also make your diet higher in nutrients. Instead of refined grains, select whole grains, such as oatmeal and whole wheat bread and pasta, whenever possible. Eat plenty of vegetables, since they’re filling, low-calorie, and unlikely to spike your blood sugar. Choose unsaturated fats, such as olive oil, instead of saturated fats, such as butter, to promote heart health and better control your blood sugar. Eat high-fiber foods, such as whole grains, vegetables, beans, and fruit, to feel less hungry and to prevent blood sugar spikes. Type 2 diabetes can be an inconvenient disease to manage, and it can cause all kinds of devastating complications. If you have diabetes or prediabetes and are thinking about weight loss surgery, it’s important to know the facts. Weight loss surgery can help resolve your diabetes and get you off medication, but it’s not likely to be too effective without a good diet, too. Just like with weight loss, weight loss surgery is a tool for diabetes management, and you need to follow a healthy nutrition plan to get the maximum results.

OMG ..... If it's the Depo Shot..... STOPPPPPPP!!!!!! Years ago they removed the IUD and started me on the Depo... I gained 50lbs in one month.... it was horrible. Look into the Nuvo Ring. It was the best Birth control EVER.... I tried it all, the Pill (nausea all the time), diaphragm (terrible bladder and yeast infections), Condoms with and without foam (latex-sensitive), IUD (terrible bleeding), the shot (major weight gain, but i didn't bleed), then the Ring. It was the only one that worked for me. Then in my 30ies i had a partial hysterectomy.... OMG it was like the heavens parted and the angels were singing.... At 50 i started menopause and it sucks Ass..... I started gaining weight and couldn't control it, no matter what i did. So i decided enough was enough and paid OOP for a revision to the sleeve. Note: All of the birth control was before i was banded in 2009 SW: 232 LW 143: Removal 2017 at 143. Sleeved 8/28/19 at 173.5, today 131.4

I was diagnosed with type 2 diabetes six years ago. The oral meds I took for this time contributed to a 20 lb weight gain over those 6 years. In January 2011, my doctor broke the news that my A1C was too high at 8.4%. I was going to have to increase my meds again. After I balked at the idea of more meds, my doctor suggested that I consider lapband. My wife was banded 5 months earlier in Mexico, so we went off to Mexico again, this time to get me banded. In 5 months, I have lost 60lbs, A1C went from 8.4 to 5.8, BP from 120/75 to 95/60, triglycerides from 335 to 133, cholesterol from 180 to 135. I have much more energy now. I can't believe that I may have to figure out how not to loose more weight in the very near future. That will be a great problem to have. My doctor believes that I can go medication free at my next visit in September.

Your friends situation is what I'm afraid of. I've gained about 60 pounds since having kids. My skin wasn't really loose considering but I got a ton of stretch marks from pregnancy. Luckily I haven't gotten anymore from this weight gain. So I'm worried about if everything else will bounce back. Getting extra plastic surgery for those would take a while to save up for. I hope I end up like you!

I relied so heavily on this forum and others in the months leading up to my procedure that I promised myself I would provide a 12 month update, FAQ and experience summary for others planning the same thing for the same reasons. I recently posted this to Reddit and bariatricpal rounds out the plan. My story is positive – overwhelmingly positive – but I think most importantly my story is not emotional. I don’t have a psychological problem with food. I was never tormented or made to suffer for my weight (beyond finding flights uncomfortable and shirts being too short). I made this choice on statistical grounds – it would extend my life on average and go a long way to improving my diabetes. I wanted to provide a vanilla story to remind everyone this pretty survivable and the majority of people have non-descript and unexciting recoveries. My lift is pretty much the same - I just eat a lot less, dont shoot insulin and hopefully will live longer. Forums tend to have an over representation of negative outcomes - that makes perfect sense and it's absolutely fine for people to use them to get some reassurance and communicate with people in the same situation. For everyone else - just remember you're less likely to jump on a forum and tell your story if nothing went wrong or it wasn't any different from other people and as a result it can seem like a higher proportion of people are suffering than maybe is the case. I was a lower-BMI diabetic, not quite type 1 or type 2, but insulin dependent nonetheless. My BMI was 31, my surgeryweight was 126kg (277lbs) and I’m 196cm tall (6’5). I was diagnosed at 100kg (220lbs) but assumed type 1 as I wasn’t visually overweight. However in the 5 years since diagnosis I’ve continued to produce some insulin suggesting I’m not a pure type 1 or 2 - but closer to type 2. I gained 26kg in a year after diagnosis once i started on insulin. I’m broad shouldered/chesty with skinny legs - like an apple jammed on some chopsticks. Maybe like the fat Mr Incredible. My intention for having the bypass was not solely weight loss – I suspected that my diabetes was closer to type 2. I suspected the improvements people see immediately in diabetes management post bypass may apply to me. It was a gamble that paid off, My decision making process was quite straight forward – I had a young daughter at the time (now have a son too) and had lost my father to a heart attack when I was 7. He was fit and not diabetic but had a heart condition. I new statistically I was due for a similar fate carrying excess weight plus diabetes onboard. This was the best way to knock out one of those (the weight side) and hopefully improve the diabetes. I went from 126kg to 83kg (180lb), my BMI is low end of healthy. My biggest positive is my immediate cessation of insulin shots and a current HBA1c of 5.8 with oral meds only. It took about 6 months to get to my goal weight of 90kg. I'm still slowly losing and need to stop. Lead-up and Prep I was not obese to look at visually. The majority of healthcare professionals I spoke to did not think surgery, let alone Gastric Bypass, was necessary. In the end – my PCP, endo and surgeon all agreed that, while not essential, bypass was a prudent decision with potentially long-term benefits. The surgeon did not want me to bother with a gastric sleeve – if the endgame was diabetes improvement then the gold standard was a bypass. In Australia you need to be over 35 BMI or over 30 with a comorbidity to be eligible. I had slightly elevated Blood Pressure - that plus the diabetes made me eligible. I paid $2000 out of pocket, my private health insurance paid the rest. No psych required, I had a few meetings with a nutritionist and everything was greenlit. From first enquiry to surgery was four months. The fee I paid includes lifetime consults with the surgeon. I did not need a pre-op diet as i was not that overweight and my liver was not a concern. Surgery My procedure was in June 2018. My anaesthetic recovery was rough, but otherwise the process was fine. The most discomfort was immediately in the 12 hours following – in part due to surgical site pain but mostly because the bed could not accommodate my height so I was forever crossing my legs or scrunching them up, only to have a nurse slap them and wake me up for fear of DVT. Nurses kept promising to find a bed extender - eventually I lashed out in a post-anaesthetic haze at a nurse who slapped my feet - she took the end off the bed with a flourish. My feet shot out, I cried in relief, apologised profusely and slept for eight hours. Day two was stiff and sore but i was mobile, able to shower and sipping fine. I went home the morning of day three. I had PHENOMENAL life ruining headaches from day two. I went home with some serious opiates because I lived 90 minuts from my surgeon and couldn’t drive to get a script if they hit again. On day four my dietician cleared me for coffee and it immediately wiped out the headache – turns out I’d been in caffeine withdrawal. So I really recommend you taper that off in advance if you have a problem with coffee like i do. If you're diabetic then buy a freestyle libre glucose monitor for the procedure if you dont have a CGM. They want hourly blood glucoses, instead of being woken and pin pricked every hour I could just show them how to use the scanner and they'd take it while i slept. I had some minor aches 6 weeks out and one of the surgery sites oozed a little clear fluid. It subsided immediately. I was home for two weeks. I could have gone back at one week. I'm an accountant though and my starting weight was comparatively low so i was mobile quick. I completely understand if you're starting form a heavier weight then you should plan to take the full time. Food/Eating The normal progression of foods was fine and unremarkable from what is described on most forms. I graduated to solids a little earlier than I should have. I cheated like mad and was feeling fine, it was only when I snuck a tiny piece of casserole beef and vomited violently did I start to behave myself. I was vomiting once or twice a week from eating too much or too fast. Savoury ricotta bake, hearty soups and coconut water were my saviors. The vomiting subsided, 18 months out I vomit maybe once every two or three months and only when I do something stupid. My problem before surgery was eating very fast and taking large bites – that has been hard to deal with post surgery. In fact I tend to still eat large bites and then sit unable to eat for extended periods. I was very sensitive to sugar post-op and frequently had dumping. That subsided in a month with changes in eating, changes in my appetite and better food/liquid rules. I currently only get dumping in the morning, and only if I eat something sugary. I do get nauseous easily in the morning too – it’s something I’m working with my nutritionist on to find out why. Otherwise I can eat whatever I want within reason. I don’t drink soda, but had quit it before my procedure. Milky protein makes me nauseous too (any type of creamy protein really) so I use a water protein additive from costpricesupplements. This helps me hit 2L fluids daily. I can eat about a cup and a half food. Liquidy foods – stews, soups, casseroles – I can eat a lot more than that. Tougher foods like steak or dry chicken much less. I gulp liquids. I had a sensitive stomach before the surgery and took Metamucil religiously to keep my gut regular. I have not had any issues post op with flatulence but have had looser bowels. Metamucil still helps – but no worse or in any way less manageable than pre-op. Diabetes I went off insulin immediately after my surgery. It wasn’t a cure – I’m still diabetic – but metformin and trajenta keep me in an aggressively managed hba1c. I have a so-so diet – I eat too much sugary junk food and carbs. I could go without diabetic meds I believe but my diet would be depressing so ive truck a compromise. On this basis alone this was the best decision I could have made for my physical wellbeing. My blood pressure is fine, my cholesterol is non-existent and I'm able to even job a moderate distance without discomfort. Random observations • I’m cold. So cold. It’s 35 degree outside where I am (90’s Fahrenheit) but as soon as I go into any office I need a sweater. I really became dependant on sweaters, long johns and socks this last winter. Im not cooler in summer – just as hot and bothered as before. Maybe a better way to describe it is that I feel the temperature more in general, like I lost my insulation. • I am too skinny. Clothes don’t fit that great – most men this tall have a bit more chest/gut on them. Australia has limited/no tall clothing ranges domestically so I’m importing loads of stuff from the UK/USA. i still think i look fat when i look in the mirror. • My bum is bony and I need cushions to sit comfortably. I also had a cyst on a butt cheek I didn’t know about – now im so bony there I’ll need to get it removed so I can sit on kitchen chairs comfortably again. • I gained about 1.5” of penis length. It was a welcome addition. I needed to learn how to be more gentle and patient using it. With a young family and little sleep it's yet to be fully road tested – but I’ll be ready when we start to sleep again. • I have a little loose skin. nothing dramatic. mostly around the gut and love handles. • I am very sensitive to meds and drugs. I'm not much of a drinker but i like weed edibles - what would give me a mild buzz before gets me quite high now. I sober up quicker now too. I take xanax on flights to help sleep - i take a quarter of the dose now. • I drink red wine socially and now cannot really get drunk. I sober up quite fast but get a mild buzz pretty quickly too. • Dumping sucks but it should not be a discouraging factor. Its not life ruining – anyone who’s had a hypo as a diabetic it’s a bit like that with some gastro thrown in. It resolves pretty fast (30ish minutes for me) and is a self-reinforcing feedback loop for shitty food behaviours. For this reason alone I consider the bypass as the better choice for me. • I’ve lost a fair bit of muscle tone and will need to somehow up my protein and start some weight training to recover it. This needs to be balanced with not losing for further weight. • I have to remind myself to eat. Not just because of low appetite, but because once my pouch shrinks for a day then eating again can be uncomfortable and time consuming. As long as I eat fairly frequently my pouch is all good and I can eat quite a lot pretty fast – forget about it for 2 or 4 hours and I’ll need to take some time to eat a bit and get my appetite back. • I was hungry for 33 years and bordered on a pathological inability to waste food. I ate my meal and anything my wife or kid didn’t eat. I’d eat a meal out, go home and have a sandwich. We ate at bars and pubs because the servings were larger. I would eat until I was very uncomfortable if the portion was large enough. Now I still can’t bring myself to leave food – so I have this silly aversion to ordering anything more than something off the appetisers list. I don’t like asking for to-go containers (it’s an Australian thing – it’s really stupid because we pay so much for food out we should keep every bloody morsel) but have started to now order what I actually want instead of what I think I can finish. It’s funny – I went from ordering what I thought would be the biggest portion so I didn’t feel hungry (instead of what I thought looked good) to ordering what I thought I could finish and not waste. Regrets? None to speak of specifically. In a very minor way travel is less fun. I looooove travelling to southeast asia and the USA and love eating all the different things. My appetite is so low now, and eating can be so inconvenient, that I don’t get to eat anywhere near as much variety when I travel. I was recently in SE Asia and looking forward to a huge array of currys. I ate only two in five days as I had no appetite at all. I just need to travel differently now - actually plan to stop for meals instead of just charging all over a city and snacking on the way. I wish id been more sensitive to my wife's emotional processing of the scenario. She's gone from having the tall, chubby guy that was the physical build she was attracted to, to having a skinny beanpole. This was while she was having our second kid and all the very natural weight gain associated. She's not overweight and is, objectively i reckon, absolutely gorgeous but definitely feels marginalised by the process and is quick to colour me as vain or obsessed with my image now I am buying new clothes. I think i could have been more mindful of what I said or did. She was overwhelmingly supportive though and agrees this was worthwhile. Closing thoughts If you are considering this process and maybe you're on the margins of eligibility my experience would say go for it. my hope here was to give a vanilla experience to the mix, unique only in my taking the more permanent bypass on despite my lower starting weight. Sent from my SM-A705YN using BariatricPal mobile app

Pregnancy is a difficult time to remain compliant with our diet...but some weight gain is expected, so be accepting of that. With 2 of my pregnancies, I gained 85 pounds, and then 65 pounds, and I did not have the band. I lost all of the weight both times, but it took over a year to do so. Don't allow yourself to get too concerned, as then it will become a recurrent cycle for your thoughts. As Dee wisely mentioned, keep,drinking your fluids. Any Snacks should have Protein. Try to only eat bandster friendly foods. Make it more difficult to get to those foods which you know you to be less preferred for a bandster, and measure your portions for everything. Be ok with any weight gain, it will only be temporary. Best wishes for a happy Labor Day!

You will be able to eat more and more as you progress through the first few months post-op. This isn't unusual and it's nothing to panic about. My nut says I can eat a cup of food at a time now that I'm 5 months out, and generally, she's right. I couldn't eat a cup of dense Protein like chicken, but I can eat a cup of Soup or yogurt, which pretty much go right through. With regard to stretching - personally (and based on what I've read/seen) I don't think it's stretching as much as it is eating around the sleeve. Imagine my surprise when I decided to have "a few" potato chips. I counted out a serving, tracked it, and was not even a little affected by the intake. I could have eaten the whole bag! You've heard of slider foods - well, believe me, they are a thing. Because sliders don't close the pyloric valve they slide right through and your capacity is much higher. Obviously this increases calorie intake and voila - weight gain ensues. One rule I don't break is drinking when I eat. This will also cause you to eat more than you should because it pushes food through the sleeve allowing you to accomodate more volume. I'm not perfect - I eat small pieces of chocolate here and there, I have popcorn and chips once in a great while, sometimes I'll have a small piece of bread with butter. 95% of the time, though, I follow my plan and I measure and track everything in My Fitness Pal (even the popcorn and chocolate!) That, to me, is the key - being aware of everything that I'm eating. Presurgery I ate with abandon, and that's never going to be the case again.

In my experience, most NUTS don't know what they are talking about. The stretchy part, or fundus, is cut out during the surgery, therefore making stretching VERY difficult. A few carbonation bubbles do not have enough force to stretch anything. We do not have "regular" stomachs anymore. Drinking non diet soda with all the empty calories was the cause of weight gain, not stretching. There are studies proving this, but believe what you want. For the record, I've drank carbonation for a couple of years in the form of selzer waters, and my capacity is exactly the same as it was from the year before. So your NUTS "theory" pretty much is disproven.

CNN REPORTS THE MOST COMPREHENSIVE PROOF THAT Gastric Bypass Lowers Risk of Death TIME MAGAZINE AUGUST 22, 2007 By Sora Song Whether one regards bariatric surgery — last-resort weight-loss operations such as gastric bypass and stomach stapling — as an essential treatment for obesity or as a failure of the fat person's will, the fact is, it works. Studies have shown that after surgery, patients often lose 50% or more of their excess weight — and keep it off — and symptoms of obesity-related conditions like diabetes, high blood pressure, high cholesterol and sleep apnea are improved or eliminated altogether. Now, two new studies in the New England Journal of Medicine (NEJM) show another long-term benefit: a lower risk of death. The larger of the two studies — the largest of its kind — led by researchers at the University of Utah School of Medicine, looked specifically at gastric bypass surgery, also known as Roux-en-Y gastric bypass, which accounts for 80% of all bariatric surgeries in the U.S. The operation involves creating a small walnut-size pouch at the top of the stomach, which is then stapled off and connected to the small intestine lower down than usual; the result is that patients can eat only an ounce of food at a time, and the food bypasses most of the stomach and the top part of the intestine, limiting the number of calories the body absorbs. In the Utah study, researchers compiled data on 15,850 severely obese people, half of whom had undergone gastric bypass surgery between 1984 and 2002, and half who were from the general population and had had no surgical intervention for obesity. Overall, researchers found, the surgery patients were 40% less likely to die from any cause during a mean 7 years of follow-up, compared with the obese controls. What's more, the mortality rate attributable to obesity-related disease was 52% lower on the whole in the surgery group: after gastric bypass, patients were 92% less likely to die from diabetes, 59% less likely to die from coronary artery disease, and 60% less likely to be killed by cancer. Results like these have got some doctors intrigued enough to start thinking about bariatric surgery as a treatment for conditions other than obesity —especially diabetes. A growing body of research suggests that the surgery may reverse the disease, a potential solution that could help some 20 million American diabetics. Though the current NEJM study did not specifically study the impact of bariatric surgery on diabetes, it did reveal a 92% reduced risk of death from the disease in surgery patients —findings that support what has been emerging in other experiments. "In more than 80% of patients who are severely obese and have diabetes and then have gastric bypass surgery, the diabetes is cured," says Ted Adams, professor of cardiovascular genetics at the University of Utah School of Medicine and lead author of the new study. "The interesting thing is that the resolution of diabetes happens within a few weeks following surgery, long before patients have lost their weight." Like some other researchers in the field, Adams believes that the surgery triggers other biological mechanisms, separate from weight loss — perhaps an interruption of a crucial biochemical pathway or a change in the release of certain hormones in the stomach or small intestine — that may have powerful effects on diabetes. "The gastric-bypass patient is really providing a source of intriguing research related to all kinds of disease treatment as well as weight gain and weight loss," says Adams. The second study, led by researchers at Gothenburg University in Sweden, involved 4,047 obese volunteers, 2,010 who underwent some form of bariatric surgery and 2,037 who received conventional obesity treatment, including lifestyle intervention, behavior modification or no treatment at all. Ten years after surgery, researchers report, the bariatric surgery patients had lost more weight and had a 24% lower risk of death than the comparison group. Though the overall number of subjects in this study is much smaller than the first, the results confirm general benefits of bariatric surgery, and gastric bypass in particular: after 10 years, bypass patients had maintained a 25% weight loss, compared to a 16% loss in patients who had stomach stapling, and 14% in those who underwent a banding procedure. In both studies, surgery patients had an overall lowered risk of death, but an interesting finding in the Utah study shows that these patients were 58% more likely to die from other causes, such as suicide and accidents. The authors speculate that as people lose weight and become more active, they also become more prone to accidents, which may up their risk of death. Surgery patients may also have pre-existing psychological problems — a history of abuse, perhaps — that can't be resolved by losing weight. "There have been some studies reporting that following bariatric surgery, some individuals may be more prone to chemical dependency, such as increased alcohol use," says Adams. "There's some speculation that certain addictive behaviors that are in place before the surgery — with food, for example — are transferred to alcohol or another addictive behavior." "Hopefully this research will stimulate additional evaluation of what the optimal approach is for evaluating candidates for this surgery," says Adams. "I think we should never lose track of the importance of individual evaluation of benefits and risks." Last year, an estimated 177,600 patients underwent bariatric surgery, a figure that's likely to grow as Americans get fatter and fatter. Though modern surgery techniques have become more sophisticated, less invasive and safer than in the past, the bariatric procedure still carries all the risks of any other operation. Patients have a .5% to 1% chance of death. The risk of gallstones goes up. Sometimes a second surgery is necessary. And all patients must be careful to make up for Vitamin and mineral deficiencies. The surgery isn't for everyone; current guidelines recommend it as a last resort, only for the morbidly obese who have a BMI of 40 and higher, or for the obese with a BMI of 35 and higher plus a serious weight-related illness like diabetes or hypertension. This should help. Gary Viscio Viscio Law and The Obesity Law Center - Welcome

I spoke at a lapband info night last week just to give my experience as someone who's been successful with it. Before i got up, my surgeon spoke for about 40 minutes and he made a big deal about how the lapband provides satiety and lack of hunger and that is how it is supposed to work primarily - more so than restricting what you eat. I thought "wow, that hasnt been my experience". Early on, I had that. For about six months. I lost interest in food, I mean, I enjoyed what I ate, but I wasnt hungry, didnt have head hunger, never felt physical hunger. That didbnt last for me. I have a normal appetite, normal hunger levels and a fair degree of head hunger these days, I've just learned to deal with them. So yes, i do get hungry and i very often just want to eat for no particular reason. Perhaps more fill would solve it, but I'm at a healthy weight and dont need to lose, so I havent sought that out. I'm about to get unfilled in about an hour becuase I'm having another surgery next week. Part of me so doesnt want to do that, I'm terrified of rebound hunger and weight gain but a part of me is also VERY interested as to how much hunger/restriction/control this band is providing me. I'll report back!

I wish you and your dear daughter well and pray that the decision that you make is the best all around....I fully understand how you feel since one of my kid's sufffered all of the same issues....he was born large and due to many factors(medical as well as emotional) the weight krept up through the years....I found the best teaching hospital with a pediatric program( they have them) and worked with a comprehensive team approach to deal with the underlying issues(medical and emotional)...there were medical tests that yeilded problems in the pituatary and adrenal glands that helped create the weight gain........ had to change the kitchen(as a family) and eating habits....had the kid in a program that taught self worth and good eating habits....and an exercise program geared to young kids....and regular meetings with a good therapist......it was a long road .....and hard work.... going to Mexico is a gamble.....on many levels...iif you could try and find a good program that is part of a teaching hospital.....you might be able to receive funding for the help......wishing you good health and every success in your journey........i

If metabolic syndrome is the cause of your weight gain, a diet that is low to moderate in calories coupled with an exercise plan may not be enough to lose the weight. And if you continue to eat the wrong foods, exercise and diet may not help at all. In the late 1970s the government mandated we get the fat out of our food. The food industry responded by putting in more sugar. And that, we see by historical data, correlates to the time when America’s obesity epidemic began. Read my article, “Cause and Cure of Obesity in America.” In the New York Times best seller Fat Chance: Beating the Odds against Sugar, Processed Food, Obesity and Disease, author Dr. Robert H. Lustig, a renown expert on obesity, points out that “a calorie is not a calorie.” Not all calories are equal. Whether the calorie comes from fructose, glucose, protein or fat is important to its metabolic effect and how much fat that calorie accounts for. Fructose and glucose — just two of the many names that sugar goes by — and even protein are said to be the culprits behind insulin resistance and metabolic syndrome. Insulin resistance and metabolic syndrome are two primary causes of obesity in both adults and children. If you are struggling with the problem of an overgrown waistline, aka “belly fat,” this may be an indicator of these health conditions. Read my article, “Belly Fat is a Danger for All People.” If metabolic syndrome is the cause of your weight gain, a diet that is low to moderate in calories coupled with an exercise plan may not be enough to lose the weight. And if you continue to eat the wrong foods, exercise and diet may not help at all. What are the Wrong Foods? Sugar goes by a variety of names, about 52 in all, including glucose, maltose, sucrose, and fructose. The result has been an altering of our biochemistry that has driven our eating out of control, according to Dr. Lustig. Dr. Lustig further states that so-called healthy sugars such as agave, coconut and palm sugars are all “crap.” Checkout this HealthCentral sugar infographic named Sugar is to Blame: http://www.healthcentral.com/obesity/c/380545/179644/sugar-blame-infographic/ Dr. Andrew Weil, a well-known guru for holistic health and integrative medicine, agrees on this point. Dr. Weil warns that sugar is toxic, and coupled with modern industrial food, has disastrous effects on the hormones that control hunger, satiety, and weight. Both Dr. Lustig and Dr. Ron Rosedale, author of The Rosedale Diet, advise that branch chain amino acids (BCAAs) and protein contribute to insulin resistance and obesity. I’ve been eating a high-protein diet and taking BCAAs because I thought I was doing my body good. Whey protein, which I and the majority of bariatric patients have been conditioned to consume, is one of the worst foods for releasing insulin in the body according to Dr. Andreas Eenfeldt, a Swedish medical doctor and specialist in family medicine. Dr. Eenfeldt, commonly known on the web as the “Diet Doctor,” interviews Dr. Lustig on the "Causes of Obesity" in the video below (or watch it on ). The Bottom Line If you think metabolic syndrome may be the cause of your weight gain, then eating a traditional “healthy diet” combined with exercise may result in failure to lose weight. Talk to your nutritionist. Further, you may wish to explore three diets for metabolic syndrome from Cleveland Clinic, Dr. Robert H. Lustig, and Dr. Andrew Weil in my article, “Metabolic Syndrome and Weight Loss.” Living larger than ever, My Bariatric Life

Maya, That was one rule my doctor and NUT were fanatic about - no drinking for at least 30 mins before a meal and 30 mins after a meal. They noted that avoiding this rule could lead to weight gain. You may want to check with your doctor. Good luck to you! Kelly