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198.8 today. Doing a 5 mile walk/run on Thanksgiving day really helped stave off the weight gain! Didn't over-eat, but I did indulge a bit.

most people who loose weight gain it back. I guess it all depends on if you think you can follow this diet for the rest of your life without surgery or else how many times are you willing to yo yo back and forth. for me, I was more afraid of the obesity than the surgery - but only you can make that decision for yourself.

I do find that snacking leads to stalls and or weight gain for me. I have to be very careful because I also get reactive hypoglycemia so i pretty much eat very small meals all day long. That is a slippery slope and can feel much like grazing which is the worst thing i can do. Early on while in weight loss mode my nut had me drink milk for a snack. it gives you added Protein, turns to a solid keeping you full for quite a while. And.....best of all you can add different types of tea to it. My favorite all time snack especially in the winter is chocolate chai tea. I use the loose tea version from teavanna and steep it for 3 minutes. It is especially delicious, hits the spot with NO added sugar other than what is in the milk. I use lactaid because i still have a lactose intolerance. If i dont have that, i will eat full fat cheese, pepperoni, shrimp, almonds and sometimes bariatric pal hot chocolate or bariatric pal vanilla capacciono.

im curious about the weight gain on the RYN, how is that possible with having no stomach? What is it that stretches? I thought with RYN weight gain was tougher? Im having my RYN tomorrow. Sent from my SM-G973U using BariatricPal mobile app

I think I may be the only one on here that has the balls to admit I am currently taking Phentermine after WLS. I was sleeved on August 31, 2012 and have lost 60lbs. I got very discouraged in my weight loss venture. I am human and give in to temptation just like most of us do. My weakness is Mr Pibb. I know it's a horrible thing and I'd lose way more if I'd stop drinking 2 sodas a day. Which is a huge improvement from about 2 -2 liters a day before surgery. I don't need anyone preaching to me what I already know. I have a hard time drinking Water and yes I've put everything known to man in it to make it more desirable, but no luck. I can go 12 plus hours with out drinking a drop of anything. My Dr says I have water weight gain and has put me on the Phentermine to make me thirsty and to help with the water weight. Phentermine isn't a quick fix and I still have lots of weight to lose, but it has helped me get over the depression I have felt for quite sometime about the weight not coming off. I lost 10lbs on it and I am way thirsty. He only prescribed it a month and I'm glad he did. I have found that if I actually get out and walk around for a little while I start to notice more energy. I also have learned to pre-weigh and pre-pack my lunches and dinners for the week. This is a huge life changing journey and man what a roller coaster ride it has been. I'm sure most of you are appalled about the phentermine after surgery, but some of us need that little extra boost to help us get through hard times. Especially when there is no support and a strong ear would be nice to have for thoughts and wonders. So before you are quick to judge me, remember we are all human and no-one on this earth is perfect.

My surgery was on the 17th took under an hour and was perfect. No gas! However I woke up dry heaving which lasted 28 hours turns out I am allergic to hydrocodone. Two days and 3 anti nausea medicines and I was home. My drain site was the only tender spot. Today I am four days post op and feel like myself. Still have occasional stomach spasms which are decreasing and I was able to get 46 oz of water down. I have transitioned to clears which was a great change from broth and jello. I had amazing tomato soup! I couldn't finish it but it was great. I did have one issue. The steri strips peeled off today my incisions look great one is bruised where the stomach came out and the site where my drain was is ugly but the problem is I am apparently allergic to the tape. Skin came off with the tape so I have beautiful incisions and ugly raw spots all around them. Doc said put neosporin and band aids just on the sores not the incisions so I used 12 band aids and look ridiculous. Today I took my daughter to the doctor and she asked when my surgery was. When I told her it was 4 days ago she was amazed how great I was doing. So many have complained about weight gain from the hospital I weighted at home and was the same when I went in two days later I am down 8 lbs. good luck to everyone waiting! See you in the losers bench!

Agree agree agree!!! I’ve JUST had his happen to me & it’s so true!! My hubby so lovingly made me soft white bean chili yesterday & although great in protein it’s high in carbs... I ate a small portion about every 3 hours yesterday!!! Feeling it today yuck!! Will not do that ever again. Also have a additional 1.4 lb weight gain today! No thanks getting back to more protein than carbs now!

Please don't beat yourself up. I had so many food funerals that I gained 10 pounds from when I initially saw my surgeon in November to when I saw her again in December. Thankfully I'm doing the preop diet and have lost everything that I gained. But looking back I'm really angry at myself because the weight gain just made my goal farther away.

My offer is sincere. It is open to everyone. Knowing you are doing all you can and it still may not change an outcome is a difficult place to be. Are you local to a support group that meets in person? I am sorry about your therapist. I did not see a therapist until a few years ago. I may be a little different from some in that my weight was also driven my metabolic issues. The same thing that helped me stay large (I had an appetite too!) was a metabolic disorder. My sister had the same thing but instead of a damper on her furnace it burned white-hot to the point of doing damage sometimes. I would be at the gym and taking my martial arts classes and maintaining massive amounts of muscle to just be a size whatever (it varied so much) and my little sister would be on 4800 calories a day to maintain a size 0. It followed on like that till I was about 19, when I had about 6-7 years that I maintained a size 14. I got back up to a 16 when I was about 27, which I would miscarraige that year and then my weight skyrocketed and I began to suffer real health problems for the first time ever - sports injuries aside. By the time I was 30 I was as heavy as I have ever been, and diagnosed with diabetes in 2007. Since I have been on a very slow downward pattern again. I was at 272 when I finally decided one last "go" and shortly thereafter decided I needed to admit I needed help. I was attending therapy at this point but amped it up and changed from a "food" therapist to a therapist that focuses on cognative therapy - helping me think for myself. It has done so much good. There were walls in my journey. I crossed a big personal hurdle when I admitted to myself that no matter how fit I had been when I was younger despite my size, that it had left its mark. The miscairrage and weight gain and diabetes and being so large I could not fit in an airline seat without an extender, that between my Husband and I we couldn't share a hammock with a 550 weight limit - it left issues. Doing what I can to fight the good fight - and again only 2+ weeks post op. I have no guarantee I will succeed, either. Strong energy to all who needs it.

Well let me tell you this...I have my 6 out of 6 appointment coming and I want to tell anyone with Kaiser what to look out for...it's what I wanted to know... 1. you can possibly get more monthly visits added on but cannot do anything to reduce the time in the program. 2. you should start a diet to follow immediately and let that be what you track in your food journal...unlike me, who thought they wanted to just see what we were currently eating.. I was unaware that the diet begins at that first class you attend. 3. If it applies, don't stop smoking too soon...I gained about 6lbs immediately and never found out that losing any weight gained is you final goal in the program. 4. DO NOT GAIN WEIGHT!!! I never knew there would be any weight requirement, only the classes and appointments but at my 5th appointment, I found that I must get back to my lowest weight in the program before we can move on to submitting paperwork. Which only gives me 4 weeks but if you gained more than my 6, this could be a shocker! 6. Make sure you schedule all your appointments immediately after your visits because those appointments go fast and some time they may not even have a schedule up for the following month until the 2nd week of the current month. My 6/6 appointment is 1/31/14 and we will be submitting paperwork...feel free to hit me up and ask me any questions about the process... Good Luck neighbors!!

Dear Jim and carolinagirl, you both are such inspirations! I lost 100 lbs, and have had troubles maintaining it. Both of you have had amazing weightlosses, and I am so impressed! I have had a recent fill, and am trying to lose the weight gained over the last 2 years after losing my 100 lbs and having a revision. I lost momentum, but now feeling back on track. I have a snacking problem, folks reading this, beware for sliders, they will take over and catch up to you! Congrats to you newbies, and my two heroes!

I also think the surgeons who perform these surgeries need to catch up to obesity research, in many cases. Most, if not all, bariatric surgeons were general surgeons at one point who jumped on the bariatric bandwagon when insurance started paying for these procedures. I'm not sure what extra training they received but I think many of them are undereducated on the factors that result in obesity as well as realistic weight loss goals and weight gain after surgery. Obesity is a disease but is not treated as such by many in the medical profession and certainly not by the media or public. Blame the victim.

I've had 100+ hours of therapy at http://mocsa.org a few years ago. I was of "normal" weight then. My weight gain took off after I fell down some steps and mangled my right ankle. I had one unsuccessful surgery on it. Later, two ankle reconstruction surgeons told me there was nothing more they could do. I was sedentary and very depressed after that. It doesn't help that I have an autoimmune thyroid condition. I'm not suggesting that more therapy might not help me but a sedentary lifestyle really derailed my ability to walk or do much in the way of weight-bearing exercise. It's been 10 years since I injured my ankle. Morphine is the only thing that even gets close to taking the edge off the pain. (And I tried many other non-narcotic meds first, plus holistic treatments. My PharmD daughter finally explained to me that being dependent on a narcotic for actual pain relief is different from being addicted to a drug when no physical malady is present.) Taking 300mg of morphine per day doesn't give me a "high"; it just helps me move around without writhing in pain. I also take oxycodone for breakthrough pain. Believe me, nobody WANTS to rely on powerful meds like these. It's weird to say, but I often welcome competing sources of pain (gallbladder surgery; lipoma removal, or even my knee replacements) to help keep my brain confused about where the pain is. I expect my bariatric surgery to be no different. There's nothing that my surgeon can do to my body that can overtake the pain I live with everyday. Boo-hoo me.

Has anyone noticed weight gain while using symbacort?

Geoff, Had to do a double take on your surgery date. It looks like 10/2013. I assume you mean 10/13/2014. As the others have said. First off, follow your surgeons guidelines. That being said, I have been going to the gym and doing cardio and complete weight regimens since 6 weeks PO. And I'm sure that without the workouts, this whole sleeve thing would not be working for me. Some cautions. - I had a unbilical hernia repair during my sleeve and subsequently avoided any strenuous stomach type exercises for a few months. And when doing workouts, keep the hydration up. Another point to keep in mind is to be able to build any muscle during the process and certainly avoid losing any while losing fat weight, you must get in your Protein. I do whatever is necessary to get in at least 100 grams of protein a day. At six months my weight loss has slowed alot, but my workouts have not. As I get stronger, I am able to do more and even with the low calorie diet, I need to maintain the workouts in order to keep losing weight to reach my goal. The process has convinced me that even when I reach my goal, exercise will be the only way of maintaining my weight and avoiding any weight gain. Good luck with your surgery. Keep us posted with your progress. FYI - Check into "My Fitness Pal". Makes it easy to keep track of your diet, your workouts and your weight goals.

I would NOT have a surgery I was certain I would regret, unequivocally. I considered WLS for 20 years before I had it. I was pretty sure I could lose weight if only I just tried harder. I'm a registered nurse, brought up in the world of science, and thought I knew everything there was to know about dieting and weight loss. I even knew the statistics about the dismal failure rates, but I thought I could/should overcome that brutal reality. So, while I dieted, lost some weight, gained some more, I went to several surgeons over the years, even went so far as to have the pre-op testing completed, and always backed out. At the time, RNY was the only option, and I just couldn't get on board with the malabsorption thing (and still can't). So, I thought I might regret it, and I never went through with it. Once I learned of VSG, I KNEW it would be the right decision for me, and I have not regretted it. Lots of people say their only regret is not doing it sooner, and while I do wish I had this option 20 years ago, I do not regret having a surgery I knew I would regret.

I am 4 weeks out and now allowed 1/2 a piece of whole grain/whole wheat toast, 2 whole grain crackers, brown rice, quinoa and there is one more I can't remember. I am on what is considered a "soft diet" at this point. Carbs are not bad! We need carbs it's the kind of carbs you eat that makes the difference and causes weight gain. Everyone handles things differently though and some may not be able to eat these things and every plan is different. I'm good with the half slice of toast I don't feel full I don't feel sick I also eat it with an over easy egg on it for breakfast. So I am getting protein and fiber. Danette RNY-6/5/2017 HW 240 SW 230 CW 205

Hello. I’m in Australia so I went to the local private hospital. It’s been good so far, I was well hydrated before the procedure and have been on drips since. I’m going home tonight. My surgeon likes to keep people a few days post to up your fluids before they send you home. If I keep drinking as well as I have been I will be good, now the focus is protein. I’m one of the lucky ones, I can still drink, and enjoy, water. My weight gain was due to bad food choices, overeating and neglecting my health. My nutritionist has told me to stay on liquids for another week and then purée/soft for 4 weeks. I’ve been told to stick to 1/2 cup per meal of food rich in protein.

Becky, you sound like you have it all together. I like your stat listing. How tall are you? I take Paxil which also causes weight gain so I know how you feel. My son is 22 and he is having the sleeve with me this month also. Congrats and good luck.

I totally relate to the frustration of stalls and even periods of weight gain that this graph shows. I found something that helped me deal with it the last time I was losing weight. There’s an app called a Happy Scale that uses statistical averaging to show you what your weight loss would be if you factored out the bloated days, etc. It gives you a smooth curve on the graph. It helped me a lot.

Some Dieters Are Set Up to Regain Weight Appetite Hormone Levels May Predict Dieters' Success By Denise Mann WebMD Health News Reviewed by Laura J. Martin, MD Sept. 9, 2010 -- Weight regain is the bane of many a dieter's existence. Often dieters who regain weight after losing it are viewed as failures and judged for their lack of willpower, but new research may put an end to this blame game. Weight regain may not be solely a willpower issue. Some people may actually be programmed to gain weight back based on their levels of two key appetite hormones, leptin and ghrelin. The new study appears in an online version of the Journal of Clinical Endocrinology & Metabolism. "This knowledge could be used as a tool to personalize weight-loss programs that could guarantee success in keeping off the weight," says study author Ana Crujeiras, PhD, of Compejo Hospitalario Universitario de Santiago in Spain, in a news release. Slideshow: Simple Secrets to Portion Control and Healthy Eating Setting Dieters Up to Win, Not Fail In the new study, 104 obese or overweight men and women ate a low-calorie diet for eight weeks and were followed up with six months later. Their body weight, ghrelin, leptin, and insulin levels were measured before, during, and after the diet. Ghrelin is the "go" hormone that tells you when to eat, and leptin is the "stop" hormone that tells you when to stop eating. On average, study participants dropped about 5% of their body weight while adhering to the low-calorie diet. Six months later, 55 people maintained their weight loss, while 49 regained 10% or more of the weight they had lost. Those individuals with higher leptin and lower ghrelin levels before dieting were more prone to regain weight, the study showed. While this may seem counter-intuitive based on the actions of these hormones, the researchers suggest that it may be a matter of some people being resistant to the effects of these hormones. Their brains may not be getting the fullness or satiety messages that these hormones are delivering. You may have a lot of leptin, but your brain is resistant to its effects; much like people with type 2 diabetes become resistant to the effects of the hormone insulin. Going forward, "these hormone levels could be proposed as biomarkers for predicting obesity-treatment outcomes," the researchers conclude. "Our findings may provide endocrinology and nutrition professionals a tool to identify individuals in need of specialized weight-loss programs that first target appetite hormone levels before beginning conventional dietary treatment." Fullness Resistance Syndrome Louis Aronne, MD, founder and director of the Comprehensive Weight Control Program at New York-Presbyterian Hospital/Weill Cornell Medical Center in New York, agrees. "There is something physical going on in people who regain weight," he says. "Resistance to these hormones is a risk factor for weight regain," he says. Aronne dubs this condition "fullness resistance" and says that your brain is resistant to signals that come from your stomach and intestines telling you that you are full and to stop eating. Fullness Resistance Syndrome continued... "With leptin resistance, you don’t feel full and the more you eat, the hungrier you may get," he says. "We need to stop blaming people and start recognizing the physical basis of weight regain and manage it so people do better," he says. The new research likely applies to significant numbers of people who are finding the battle of the bulge to be an uphill one. "We are getting down to some of the final choke points of our weight regulating system, and these should apply to large numbers of people," he says. Drugs aimed at leptin resistance -- and there are some in the pipeline -- may help, he says. 'Ample Evidence' "There's no question that most people who easily gain weight, and/or quickly regain weight after losing it are different from other folks," says Scott Kahan, MD, co-director of the George Washington University Weight Management Program in Washington, D.C., in an email. "The general public tends to think of 'fat' people as lazy and as having no willpower [but] it couldn't be further from the truth." "Ample evidence, now including this study, suggests that there are physiologic reasons for weight gain, difficulty at losing weight, and rapid weight regain after a diet," he says. "There is no question that certain people are preconditioned to gain weight more easily and more quickly regain weight after dieting, just as some people are predisposed to having their blood pressure spike after eating salt whereas others can eat all the salt they want without having problems with hypertension," Kahan says. "This study is another small step toward ultimately ... [devising] new strategies for weight management and disease prevention that work with our bodies' physiologic makeup, rather than against it." When I brought up the issue of grehlin and leptin with my former surgeon he just rolled his eyes - which is one of the many reasons he is my former surgeon. I believe that I have a problem with these hormones because it has always taken a lot of food to get me to the point of satiety and that whole "wait 20 minutes" after eating to get full never worked for me. Sometimes if I ever do achieve satiety AFTER eating it can take 90 minutes or more. That's IF. To achieve a satisfied feeling while eating would take way too much food.

Hi all, Only a few things taste different for me. Only artificial sweetener I can tolerate is Splenda. Whatever is in sugar free pudding didn't used to bother me but now I can taste it big time. Someone recommended using sugar free pudding mix with the greek yogurt. Yuck! And I'm losing my taste for Spaghetti Sauce because it gives me heartburn. Also less prone to go nuts on sweets or fats for more than one day running because I feel crappy the next day (not to mention the weight gain!). Lynda

Eventually, no matter how we get there, it all boils down to not ignoring the facts of life. I have many long-term normal-sized friends who have always lived this way. In contrast, my lifestyle has pretty much been one where I had reasons / targets / deadlines for getting slimmer. Staying slim was always a little too boring to pay much attention to. Besides, I could always lose that 20 pounds again, right? Because I was so good at losing 20 pounds. Then 30. Then 40. Then even (gasp!) 50. But eventually, my dieting / weight losses / weight gains / aging / arthritis / mental gymnastics were CAUSING the problem, not solving the problem. I am coming to peace (intellectually -- although I'm not that far in my journey yet) with the idea that WLS is really about getting to the point where we have a fighting chance to learn how to maintain a healthy weight. We and others give us so much positive feedback for losing weight. But we don't get much positive feedback (or little biochemical rewards) for maintaining our weight loss. This is a real big subject.

Hi all - I am a newbie in that I am not banded but new to this forum. I need to lose about 110 lbs and I'm sure like all of you, have tried every darn diet known to man, and lost the same 40 lbs over and over again, and gained each time afterwards. The last thing I did was go to BMI (Bariatric Medical Center) here in Ottaa. The people and doc there were great and I learned how to track calories, etc but ultimately gained back everything and more. My knees are aching and I am having trouble staying on my feet for long. I'm seriously thinking of banding but I am terrified of getting it and having it not work... and of course getting more weight gain. do any of you regret doing the lapband. Is it worth the money? Anyone in Ottawa do the surgery? (I haven't found anyone.) How about the clinic in Montreal? I'm sorry this is rambling. Any replies would be appreciated.

Hey Karen, thanks for your note. My surgery is Monday, and nothing was said about the weight gain. I'm all set to go. I didn't have to have the liquid diet or a pre-surgery diet, so guess I was pretty lucky. I'll keep you posted on how it goes!