Search the Community

Sleeve is an easier surgery for doctors to perform and it's an easier recovery usually. I was back home the day of surgery and back to normal within a week or so. My surgeon recommended it over the bypass because if it wasn't successful there was still the bypass to do later, which is what ended up happening. I got severe GERD from the sleeve and ended up gaining some weight back. I just had the revision to bypass last month and wish I had just went straight to bypass a few years ago instead of doing the sleeve first. Sleeve recovery was simple and I lost 78 lbs in a year, then my gallbladder had to be removed, acid reflux/GERD got worse, and the weight gain started right after that. I didn't have acid/GERD issues before the sleeve. Recovery after bypass was harder for me, took me about a month to get my energy levels back up, but totally worth it so far. I took 3 weeks off work, but should have taken 4 weeks, but I work from home so I got through it. Congrats on getting your surgery date!

It took me a lot of years to figure out that I never knew how to do the " 5 pounds to play with " thing. I can do that now. I live in Southern California and love going to Disneyland ! All sorts of very not weight loss friendly foods - but there are healthier choices that can be made - and not just salads. There are really good soups in some locations, I am a fan of their corn chowder (vegetarian) and one of the Mexican places makes a yummy grilled half chicken plate that I share with my adult daughter ! I pick my treats and plan on having what I really want, whether it is ice cream or something else..... and if I gain a pound or so... then I know how to take it off over the next week. I weigh myself every morning... so that I can figure out what the heck I did or did not do in the couple days earlier to deserve weight gain, or loss. For me, I don't use much salt. And a meal out .... even a nice salad; can put pounds on me. Took me a long time to figure that out. A diet frozen dinner with less than 300 calories will do it too. Those are full of sodium and it does it every time. I cook with a lot of fresh home grown herbs - getting ready to plant my spring garden - will do lots of lettuces and baby carrots, radishes and beans and peas.... later in the spring will plant cucumbers and tons of heirloom tomatoes for the hot hot summer. Find the things that make you happy, that make your body strong and healthy and take good care of yourself !

The side effect of my medication is weight gain; for example my younger brother at one time took this same medication and gained over 60 pounds in 3 years (prior to that he was always skinny). I have def noticed an increased appetite with it. I have never eaten to feel "full" or uncomfortable since surgery, I have always been good about stopping and eating small portions at a time (half plate of food). However, I think my main issue is feeling hungry again soon after eating and then snacking. The only thing I can think to do is to measure every single thing I eat for a period of time and see if that helps, and to cut out snacking completely. My diet is average at best. I still make sure to get 60-80 grams of protein a day, and enjoy lots of veg and some fruits, however I do not stick to low carb or low fat options all the time--this may be another issue.

that medication you started the side affect listed on it is possible weight gain. But lets start there at your food habits... Are you still eating healthy? making sure to limit carbs and sugars? or are you just eating whatever? I am only 9 months out and i dont feel the restriction i did 5 months ago. I can eat much larger portions than before. The goal tho is to limit those portions regardless. The goal is not to eat until you cant anymore. Its to eat until you are satisfied. not full but good. Not sure what else you can do with surgery. you already had the sleeve and then bypass which is what most people go to when they gain too much weight after sleeve or have GERD issues.

There are a lot of variables to consider. IMO, BMI is flawed....the formula is based on an average body composition. It does not take in consideration frame size, bone mass, muscle mass, large breasted vs small breasted (boobs are heavy!), body shape (ectomorph, mesomorph & endomorph). If you were overweight in your youth and/or the majority of your life, your bones had to accommodate more weight so therefore are most likely larger and heavier than someone who has been slim most of their lives. Thirty years ago, the general rule for women was a baseline of 100 pounds for a 5 foot woman and 5 pounds for each additional inch. That is an average, but for me at 5'5", I am chubby at 125, where as; my daughter at 2 inches shorter, looks amazing at 135. Before the weight gain in 2012, my natural shape was hourglass (metomorph) with broad shoulders, heavy chested, small waist and slim legs on a small/medium frame. My daughter is rectangular (ectomorph) with broad shoulders, heavy chested, thick waisted, narrow hipped and thicker legs on a medium/large frame. My best weight is 112 to 117 but my daughter, even though she is 2 inches shorter, looks best at 132 to 138. "It really doesn't take body shape into account as I've never had an hourglass figure - I joke that I'm shaped like a plank with tits. Straight up and down." YES, YES, YES! The variations in the natural body composition of ectomorph, mesomorph or endomorph is not considered when computing BMI. An hourglass shape will carry more fat than a plank shape at the same weight! Weight is a personal matter. You have to find where you are comfortable and a weight that can be easily maintained. Listen to your body and listen to your doctor but don't let others get into your head.

There are a lot of variables to consider. IMO, BMI is flawed....the formula is based on an average body composition. It does not take in consideration frame size, bone mass, muscle mass, large breasted vs small breasted (boobs are heavy!), body shape (ectomorph, mesomorph & endomorph). If you were overweight in your youth and/or the majority of your life, your bones had to accommodate more weight so therefore are most likely larger and heavier than someone who has been slim most of their lives. Thirty years ago, the general rule for women was a baseline of 100 pounds for a 5 foot woman and 5 pounds for each additional inch. That is an average, but for me at 5'5", I am chubby at 125, where as; my daughter at 2 inches shorter, looks amazing at 135. Before the weight gain in 2012, my natural shape was hourglass (metomorph) with broad shoulders, heavy chested, small waist and slim legs on a small/medium frame. My daughter is rectangular (ectomorph) with broad shoulders, heavy chested, thick waisted, narrow hipped and thicker legs on a medium/large frame. My best weight is 112 to 117 but my daughter, even though she is 2 inches shorter, looks best at 132 to 138. Weight is a personal matter. You have to find where you are comfortable and a weight that can be easily maintained. Listen to your body and listen to your doctor but don't let others get into your head.

Welcome! Its interesting that you say there may be a corallation between TBI and weight gain. My son in law was always slim until he fell and had a severe head injury. He gained a huge amount of weight and developed diabetes because of it. We just thought it was because he wasnt able to be as active and because he sleep eats in the middle of the night. He is also looking into WLS. Good luck to you. I hope you get to have your surgery soon. I am also just waiting for my Echo and my EGD and hopefully will have a date too.

What you are describing sounds like a high androgen level....."High androgen levels lead to symptoms such as body hair growth, acne, irregular periods -- and weight gain."

I have been lurking for a couple of weeks and finally joined today. I have gotten a tentative approval for VSG. Final approval is dependent on heart health clearance via results of echocardiogram, which is scheduled mid-February. Hopefully, I can set up my surgery in March. I view Gastric Sleeve and all bariatric procedures, as tools to help, not as a sure fix....it is not the easy way out as some would claim! I have been severely hypothyroid since I was 20 years old after having most of my thyroid removed because of Graves' Disease (autoimmune hyperthyroid). Although, I take thyroid replacement, synthetic drugs do not work as well as your own natural hormones. For the past 40 years, my weight issues have been cyclical "hills and valleys". I would normally stay slim about 12 years and then would go into a gaining pattern but never topping more than 163, lasting 6 to 7 years before dropping the excess weight again. In 2012, I suffered a head injury and my weight exploded. I went from 117 to 212 in 8 months! The medical community is now starting to study the relationship of TBI's (traumatic brain injury) and weight gain. I can relate a definitive change in my food cravings and appetite. This time, I couldn't get the weight off even though I had a history of successful dieting. My resolve was as strong as ever but something had changed with the head injury. What this proves is the path to losing weight and maintaining a healthy weight is rockier and steeper for some than others through no fault of their own. The adverse changes to my health was the catalyst that motivated me to look into VSG. I recently had to start on HBP meds and have a been experiencing knee issues. I have always enjoyed an active lifestyle but the extra weight has elevated my fears of a stroke or heart attack due to heart palpitations and shortness of breath with even the slightest exertion. I am certain I will be asking lots of questions and am grateful for such a knowledgeable and supportive group.

It's understandable that you have concerns about the proposed revision of your gastric sleeve surgery, especially since you have additional medical conditions such as Rheumatoid Arthritis and you are in menopause. It is important to have an open and honest conversation with your surgeon and discuss your medical conditions, medications and concerns before undergoing the revision surgery. They will be able to provide you with information on the potential risks and benefits of the surgery in your specific case. Regarding the use of methotrexate, hydroxychloroquine, and folic acid, it's important to note that these medications may need to be adjusted or discontinued before and after surgery. Your surgeon and rheumatologist will be able to provide guidance on how to manage these medications safely. As for the bypass after menopause, it's important to note that menopause may affect weight loss and maintenance differently for each person. Some people may experience weight gain during menopause and have difficulty losing it, while others may be able to maintain their weight loss or even continue to lose weight. It is also important to have regular follow-up appointments with your surgeon and other healthcare providers to monitor your Vitamin levels, ensure that you're getting enough nutrients, and make any necessary adjustments to your diet or supplements.

I definitely get a lot of ick seeing diet culture words and phrases slung around on these message boards as well as sentiments I recognize from folks with eating disorders. Things in the same vein/tone as to “nothing tastes as good as skinny feels…etc” Having had a severe ED in the past and otherwise socialize in diet culture for most of my life I can’t help but cringe in seeing people would have made the choice to grow healthy through weight loss surgery choice to clinging to some of the most problematic diet culture undertones. I also get major ick seeing people put down their past selves and bodies. I think it’s amazing to feel and confident in your own skin, but there are so many factors that contribute to weight gain and so many ways fat people are misunderstood, treated unfairly and undermined in our society - something most of us have personally experienced to some degree, I hate to see people acting in ways that contribute negative societal construct.

Ditto with all the comments above. How many calories are you taking in daily? I, too, had no issues drinking, and I also had a lot of water weight gain due to the IV for a few weeks. It is normal.

Not at all. It definitely can contribute to weight gain, but that has not been my experience. I had been on it about 4 years when I had surgery, and I lost at a perfectly acceptable rate, hit goal, etc. I don't think its impacted my loss at all - although I do wonder if it contributed to me being unable to lose PRIOR to surgery. But that's really irrelevant at this point, I guess.

I am curious the process people went through for Sleeve to Bypass? I've been seeing a gastroenterologist for pain, nausea, vomiting. I have had 2 EGD's, both show chronic inflammation and gastritis, due to reflux. My surgeon is sounding very reluctant to do this surgery. I did get down to 115 lbs and have put on 50 lbs since my lowest. He is blaming the reflux on the weight gain, but I was at my lowest, when the first EGD showed inflammation due to reflux. He just ordered a barium swallow, and all came back normal. I am seeing the nutritionist, she said she spoke with the surgeon, and we would be going over the new pre-op diet, since it is different than the sleeve and has changed since I had the sleeve in 2019. I am afraid he will refuse to do the surgery and I will be left with this pain, nausea and vomiting; I have been battling for almost 3 years, with no relief. My gastroenterologist is at his wits end and doesn't want to continue seeing me go through this. I wake up choking on acid, had tests run by my pulmonologist and cardiologist. My asthma had gone away but returned. The surgeon also blames that on the weight gain. Pre-sleeve, I had walked 27,000 steps in a year. This year, I am at 1.7 million steps and ride a stationary bike 10-15 miles a day. This is huge for me, I have something called Pulmonary Arterial Hypertension. Pre-sleeve, I was knocking on deaths door. I only found this "terminal" illness, from my pre-op tests for the sleeve. Since the weight loss, I went from 6 months to live, to medication that has me at "normal/high" levels vs "high". My specialist is afraid the weight gain is spiraling and illness progressing. What changed for me, the medication I take for PAH, you have to consume 250-300 calories per dose with 30-50% fat content. Otherwise, you get violently ill. I take 3 doses a day. When I was diagnosed and first 2 years, I was on a CADD pump and that medication didn't have dietary requirements. Sorry for the long story........I just can't take the reflux (even though the barium swallow does not show but EGD definitely does and has, in 3 different tests) and the weight gain is scaring me to death. What was your process with your surgeons, going from sleeve to bypass? Is this a long process? Did you have a difficult time with insurance approval? Any suggestions on getting this done? Your experience and help, is greatly appreciated!

I was put on anti-anxiety meds a few months ago due to chronic anxiety and frequent panic attacks, and I got into a really in depth convo with my PCP because I'd already been on a med for my TN (trigeminal neuralgia) that made me gain weight and I was only able to lose half the weight that I gained so I absolutely did not want to go on a med that had a high possibility for weight gain. She told me that basically anything for anxiety or depression could lead to weight gain. So we ended up choosing a med that had less potential side effects and moderately low risk for weight gain which is the med Celexa. I take 20-30mg a day (20 for good days and 30mg on bad days). The holidays f-ed up my med cycle and I had to go without my meds for a solid week (the pharmacy f-ed up my refill order and due to the holiday couldn't get in touch with my doctor) and I had multiple panic attacks in that time and during that week it really hit home just how much the meds had been helping because without them I was an absolute disaster (the worst day of the week I had four panic attacks in one day. FOUR. IN. ONE. DAY). Anxiety is a terrible thing to have to deal with and I'm glad you reached out for help (I waited. I allowed it to get worse and worse and for 3 months I just dealt with it until the panic attacks that were one a week or one every other week started happening almost daily. I hope you don't have the panic attacks with your anxiety. Because it's scary. And sucks. So much.)

Google says: How can I avoid gaining weight on Zoloft? Maintain your normal eating habits. Sertraline may affect your appetite, causing you to feel less satisfied by food than normal. To minimize weight gain, try to maintain your previous eating habits, such as food choices, portion sizes and meal timing.

First of all, I'm so proud of you for reaching out to get treatment. That is truly the hardest part! As a fellow anxiety sufferer, I can tell that it DOES get better. As someone who also had WLS I will tell you, from my experience, any amount of weight my meds may have contributed to is NOTHING compared to feeling healthy and strong and not carrying the burden of chronic anxiety. I was on treatment prior to WLS so its hard to say what impact, if any, it had. But even if I were starting today, knowing it might impact me weight, I would absolutely do it in a heartbeat. YOU ARE WORTHY OF GOOD MENTAL HEALTH. That being said, Zoloft may contribute to a ~1% weight gain over the course of the first year of treatment, which is pretty negligible. And its helpful to remember that the med itself doesn't cause the weight gain, the changes in habits it can lead to are what cause the gain. So if you stick to your good habits (hit your protein, drink your water, move your body) you will be just fine. We are rooting for you!

Does this medication cause weight gain?

My doctor has prescribed me Zoloft for anxiety. I had gastric sleeve surgery in May, and I am scared the medication will cause weight gain. Does this medication typically cause weight gain?

Hello, all! I had gastric bypass on December 29th, so I'm only 6 days post-op, but I hit my first personal benchmark of losing 20 lbs since my 2-week liver shrinking diet pre-surgery today. If you are a visual person who is still on your weight loss journey or are looking to gain muscle, I wanted to share an awesome FREE app that helps track your progress visually and automatically takes measurements for you. It's called Me°-Three-Sixty. (No waiting for a partner to take your measurements or trying to do it yourself while holding one end of the tape measure awkwardly in your teeth or armpit.) As you continue to take scans, you can compare two scan dates side by side, both visually and with measurements. The measurements are approximations from taking a front facing and side view photo, but as long as you are consistent in where you stand & distance from the camera, the progress will be the same but may differ from actual tape measure. I took a scan pre-surgery and then took another one today. The app calculates the change in inches and percentages between any two scans. You can also use the slider tool and see what your body might look like with a weight gain or weight loss up to a certain pound percentage. Anyway, I thought you might like to try it out while you have something to compare a "Before" photo and it can still be in an anonymous way. I also loved Baritastic app, so if you know of other awesome apps we could benefit from please drop them in this thread!

Hello All, I've been lurking here for a while and have appreciated your transparency and vulnerability. I was on this forum almost ten years ago after having a gastric sleeve. I never met my goal weight; over the years, the weight returned. Last month, I was only 50 pounds short of my highest weight. So, on December 12th of this year, I had a revision to gastric bypass. I feel a little discouraged right now because I don't feel I'm making the progress I expected. I lost 11 pounds my first week, but I am only down another 3 pounds for the next 3 weeks. So, I am only down 14 pounds at three weeks post-op. I do not have an appetite at all and am having difficulty getting anything down but liquids, although I was cleared to begin soft foods today. I couldn't even engage in the puree phase too much. Protein shakes are very hard to get down, so I've transitioned to Isopure (which is more of a liquid). Despite eating little to nothing, my weight loss is slow. It could also be attributed to my starting weight being a little lower than most. I started at 5'2, and my starting weight was 222. Additionally, I take bipolar meds, which are known to cause weight gain. Any words of advice or encouragement? I'm feeling down right now.

You will "slip" again. And again. And again. And again. And again. Get used to it. Only if you don't learn how to handle the food world (including situations like the ones you described). Then there might be a not-so-low possibility that you're one of the people who're gung-ho during their first post-op year, then "something" happens, the weight first stalls despite "still wanting to lose these 25 lbs" and finally the weight gain starts, maybe gaining until they reach their starting weight again. That "something" seems to be some kind of burn-out after having gone full throttle for some months. Other people say that "life happened" (however, I think burning out and "life happening" are related closely).

Hi everyone I had a roux-en-y gastric bypass with fobi pouch 5 years ago (well, 5 years and 11 days to be precise). In the year or two after surgery I was a regular poster here and got immense support from people going through the process at the same time as me, as well as from those who were living with the changes, so I though I’d come back and share for a bit. I have the same story as many of you I am sure - a lifetime of weight loss, weight gain. I had a bit of a distaste for serious exercise but I’d walk happily. I know I ate (well, still do a bit) to deal with feelings - especially loneliness. Stressful jobs over the years, I am 5 foot 7in tall and my weight seesawed until at 100kg (220 lbs) i got a gastric band. That was good, helped me loose maybe 25lbs, but eventually the refill port broke and it had some other issues where it broke, so I made the decision to get a bypass. Because I was back up to 120kg (165lbs) ’My’ bypass has a fobi pouch - so instead of having a small rounded stomach, I have a longer thinner one with a permanent band (made from a baby’s catheter with permanent suture through to make a tied-off loop) in place around it, so it will never stretch. Anyway, it has been a resounding success. I initially dropped to under 60kg (130lbs). I remember worrying ‘how do I make this STOP! Then settled at about 62-64kg. My partner was concerned I looked a bit skeletal, and I run (sometimes) and cycle (a lot) now, so encouraged me to consider putting on a bit of weight for my own health, and I did and feel better for it - so now I sit happily at about 66-67kg - just under 150lbs. There were times when it was tough work. There still are - I occasionally still get sick with that horrid ‘dumping’ if I make an unwise choice, but the benefits outweigh that so much! I want to thank users of this board - the best bit was each problem I encountered, I found someone else had encountered it and overcome it. And it helped me hang in, see it through.

This is a big issue that I don't feel gets addressed enough before or after surgery. I really felt this alot and spoke to my doctor about this. I didnt try to hide what I was feeling, they are your feelings. I also started a journal that I write positive affirmations about my weight loss journey. If I feel like I am going down that dysmorphia rabbit hole I reach out and speak to someone about this. It really helps when speaking with someone that has had the surgery and the same challenges and understands the process emotionally that goes with this surgery. Its hard to explain stuff or get true feedback and support from someone that doesnt really understand this process in my opinion. One of my coworkers had the same surgery and when we first met we smiled at each other and said "sister". I know that sounds odd but we bounce stuff off each other whenever we work together. For example she reached out to me because she was having issues with her husband (who is very supportive of her, but just doesnt understand the process emotionally.) talking about her watching her carbs. He felt she was getting "overly obsessive" about it. She is 3 yrs post op and has been struggling with some weight gain. Her husband makes her lunch for work and the stuff he puts in there is just bad! lots of breads, pastas, etc. well you can imagine. she has been making her own and bringing more healthier choices and she has started to drop again. The thing is you can't be afraid of your feelings, and need to address them whether its finding a support group or connecting with someone that you feel comfortable talking to. I talk to my doctor (reg doc) and have come up with some approaches that work for me. For me the anxiety is what gets me and I am proud to say I have a good handle on that now and the dysmorphia is so much more under control if you will. One really important thing that also helped me was to be realistic in my vision of myself. I am not 18 years old and will never have that body again. Accepting my self now at the age I am at now (60) and really feeling comfortable with my body now is extremely important. Society does woman an injustice by attempting to dictate how we are supposed to look. I feel great, better than I have EVER felt and I feel more alive now that before my surgery. I embrace that. I am happy and healthier for my surgery and owe it to myself to love myself and enjoy the rest of my life feeling good. Don't be hard on yourself. I recommend getting a book of positive affirmations and reading one every day. It sounds corny but the more positive you put into things (its hard in this negative world we live) the more positive you will feel. Love and light.

I'm not quite 3 years out yet (that'll be next month), but there isn't a 'typical' day for me. I used the weight loss phase to get into a new mindset and learn to eat in a sustainable way. Which is what I do. I eat around 1600-2000 calories depending on the day (but only count calories if my weight goes up past what I allow myself, i.e my comfortable zone). I'm 188 right now and as long as I'm still in the 180's I'm okay (if it goes into the 190's I start counting calories. I put on some weight after starting a med for my Trigeminal Neuralgia and was only able to lose about half of what I put on, but I figure that's probably the normal weight gain I heard you gain in your second year anyway so I just shrug it off or try to, anyway). What I ate today: Breakfast: Granola bar & 2 Caramel Rice Cakes Snack: No Sugar Added Mandarin Orange Fruit Cup Lunch: Leftover Chicken Fetticini Snack: Protein Shake Dinner: Turkey Potato Skillet I just had blood work done and my blood work is almost perfect (have low sodium, but that's due to my anti-anxiety meds. They told me to drink more lol).