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Sorry I haven't been on much but no, there was no weight gain issue, i just chickened out TWICE, now I'm bigger than ever so it's time to get sleeved!

It is common to have some limited weight gain after gastric bypass surgery. They call it a 20 pound bounce. The important thing is not let go beyond it. According to my nutritionist, meals should consist of equal parts of protein, fats and carbs after the first couple years post-op. Snacks should be limited to primarily whole food options: nuts, natural nut butters, fruits, veggies, boiled eggs, string cheese, yogurt with berries and almonds, tuna pouches. Avoid processed packaged foods as much as possible. So I guess my advise is to document what you eat in a food journal and figure out what is the cause. I had RNY gastric bypass whereas you had the sleeve. I am 5 years post-op and this is the approach that I use. http://www.breadandbutterscience.com/Surgery2.pdf

I am almost 5 years post op VSG (surgery date: 06/2013). I started at 272lbs and was at 268lbs the day of surgery. I was able to get down to 199lbs but I seemed to plateau at 215lbs. I stayed at 215 for about 1- 2 years and then all of a sudden the weight started to come back. Today I have gained about 95% of the weight back and I am not sure why. I went back to the doctor and they did the barium test(?) to see if my stomach stretched and they said it did not. They said it was the same size it was after surgery, the doctor was actually quite impressed by it for some reason. I still eat small portions, so much so that my friends that don't know I had surgery think something is wrong when I don't eat all my food. I've tried a few different things to lose the weight but I can't seem to lose more than 20 lbs and it always comes back. I've considered that there could be something else wrong. I have been symptomatic of Hypothyroidism for years now, however, when my doctor runs blood tests (TSH and Free T4) it comes back normal. My doctor refuses to give me a referral to an endocrinologist (I had hormone problems when I was a kid) or do a full thyroid blood test. I feel like I am out of options and I am not sure what to do. Any advice or words of wisdom are welcome! Thanks!

I know you can and will take PPIs, in the long run the are gastroprotective Most surgeons surgeons discourage carbonated beverages. A they encourage weight,gain, many of us got fat from overindulgence in Coke, Pepsi and their evil soda cousins. B. Do you enjoy pain? That stuff will bloat up your sore little stomach. If it doesn't cause you to vomit you'll have to belch or blow it out the other end. Alcohol doubtful you'll be allowed to indulge very soon. I've heard 6 months, a year down the road. You have been a workaholic , you do not want to exchange one addiction for another. You'll become drunk on less. And a final note, although I am pre surgery I have gastritis, booze hurts and burns the lining in your stomach and it hurts like the walls of Hades. Sent from my VS880PP using BariatricPal mobile app

I have yet to look him up and see what he’s about, but I wonder, what’s your take on why he is? Update: well I couldn’t find much other than the book being for sale and I couldn’t find what he really promotes lifestyle wise either. But I did find some kind of Dr V challenge which is just terrible. I’m guessing the challenge is for normal stomachs...and even if so, it’s still terrible. Way too low of calories, that’s a recipe for weight gain. Anyone has any input on this this guy, I’m intrigued, but not so much as I am with Garth and Weiner and Greger.

Not to be the bearer of bad news, but no surgery is going to fix head hunger. In the early stages, yes, you're experiencing actual hunger. I've said this a half million times on here, but my example is this: I can eat right before I leave work and feel super full. An hour later when I get home I feel hungry again. Why? Because it's head hunger and old (bad) habits of always eating as soon as I got home from work. No different than my old smoking habits. Got done with a meal. Had to smoke. Didn't matter if I had a smoke five minutes before dinner. I always had to have one right after. It's the habit of it and my brain telling me I "need" it even though I actually don't. Studies will show differently, but on average water in an empty stomach can pass through in 5-15 minutes. Yes, there are a host of things to take into account but the point is people act surprised when they drink and don't feel a full sensation. Grazing is one of the hardest battles to fight. That can easily lead to weight gain and slow down your progress. If you aren't doing a food journal do one. If you aren't actually measuring your food get a scale and measuring cups. The mental side to WLS is something that (IMO) isn't stressed enough to many. My doc's office did a pretty good job of prepping us for it, but it's still difficult when it actually comes time to fight back against old habits.

I am hoping you make an appt with your dr, maybe a small fill ? Perhaps load up on Protein Drinks, Protein Bars , eggs, tofu. Whatever you know works for you...i think half the battle is at the store! Please don't mistake me for someone who has the right answers....ive been at this 11 years and just experienced a weight gain I never thought i would have again....now, i do have a bit of a fill, but it is a long journey! I try to remember that I don't have to be at my destination ,but need to be on the road headed the right direction...and moving Best of luck Ps. You are not a failure! Sent from my iPad using the BariatricPal App

I'm not sure how much direct help I can be, as our metabolisms are likely quite different (between a 5'10 man and a 5' woman) but I'm stable at around 2000 calories per day, give or take depending upon how routinely active I am, typically split up between about five meals per day. I do about an hour of dedicated exercise per day, usually split between a half hour or so of running the dogs woods or canyon in the morning (they run, I hike) and a half hour or so of swimming or strength training in the afternoon. I don't keep track of the fluids anymore, but it is at or above the typical 64 oz recommendation (I down a 1.5 liter bottle of water per day, plus ice and whatever other incidental fluids I have - iced tea or milk products; more if I am doing something specifically dehydrating during the day. There is a series of videos from one doc that has some relevance - I'm not entirely up with everything in his program, but he is one of the few that I have seen that discusses the increasing meal volume that we typically see over time, and offers a way to handle it. I do something similar in that I have a fairly vegetable rich diet, and do more of his "veg first" approach rather than the traditional protein first that we see in the bariatric world. It does make some sense in that veg is typically high bulk, high nutrition and low calorie, so does a good job of filling that extra capacity that we develop over time in a way that minimizes the caloric load that leads to regain. The more typical low carb (and worse, low carb, high fat) diets that are all the rage today have some weight gain built into them as they are typically higher caloric density which can lead to regain if one doesn't keep on top of the overall caloric load. So, that is something to consider if that can fit with your dietary personality (something that you can stick with long term.) He has some other vids on related topics that may also be useful. He seems fairly down on revisions as a solution, which fits my experience as there seems little that can be done to a bypass that isn't just a short term fix; a revision to a DS seems to offer the best results but is a very complex procedure that few surgeons can perform, so that tends to be a last resort.

@FluffyChix: The weight gain is indeed because of "not following the rules". However, as with other strict diets this whole bunch of strict rules can't usually be followed forever. Willpower wears out. There might be a few exceptions who can follow the whole book of rules forever (as there is with other diets; after all there are people who maintain their weight with WW etc. as well). To not make WLS into just another diet or diet in disguise that gives you great success in the beginning and makes you miserable a few months or years down the road: implement rules that you can follow forever.

Hi, was the weight gain an issue? At my last appt with surgeon, I was up 5# from holidays (ugh), but I've almost lost it now. Still I worry that I havent actually lost weight. Still another 3+ weeks until I start the pre-op diet, where I actually get to eat food -- 1200 kcal, 60g carb, 120 g protein, 4 meals a day. For that I am thankful. OTOH, post surgery is 1 week clear liquids, then 2 weeks full liquids. So surgeon is easier on the upside and harder on the downside. Want to add, I personally am on the fence about Premier Protein -- its too thick for me.

Does the reason why any of us have a weight gain matter? Could be many things. Your body settling, medical issues, major life changes or old behaviors creeping back in. It's more important that we recognise a gain and work to get back to healthy. I can relate. I feel the need to control my weight. I have to admit my fear of regain is not a normal level. I felt out of control with food and my weight most of my life. I now over think maintaining. It's a bit obsessive on my part. It's something I'm working on.

So you lose 200 lbs and regain 20. That's still a weight loss of 180 lbs. Still success. Nothing that throws you back into the morbidly obese range. I think there is a big difference between a rather small weight gain (compared to the weight lost) and a really big weight gain.

Sure of course. I'm 55 years old and morbidly obese. I've been on diets since age 9. Clearly I've no concept of how to have moderated sustainable relationships where I'm able to contain the hunger/craving beast so that I'm able to maintain a normal weight. Because I've always regained+10-15%. I chalked that up to being a fallible human being. And also know that the body is a beast that loves to maintain its fat cells in full mode and will try to do any kind of shenanigans to refill them, once emptied through diet. So now, the stakes are infinitely higher. I'm about to go rearrange my gut anatomy and cut out a portion of my intestines. I KNOW that my old habits got me to being morbidly obese. So if I think that just the surgery is gonna keep me from returning to morbid obesity--I think I'm not being honest with myself. I don't trust myself with the "old habits." And developing trust with the new habits is what my goal will be about for the future. The big question for me is that if I create these new habits and "new normal", will my body STILL try to sabotage me with weight gain down the road? It's like trying to anticipate future problems and address them while I have the luxury of time to plan and implement--rather than having to react to something in crisis mode. That's why it truly interests me to find out why you guys are successful. It also interests me to find out why some people struggle and face regain. And the hypothetical numbers I pulled out (1000-1200) are just that--they're just a hypothetical amount. I know right now, at 1500 cals per day with 60-80g from protein and 60-70g of carbs, walking on average about 50 mins a day, 4-5 days a week, I'm in maintenance. Presurgery. I'm losing maybe about 1-2lbs per month that can be wiped out by one poorly planned meal. That's an excruciating tight rope. I'd like to know if I need to expect that post-surgery, or if it gets maybe even a little easier to maintain (once we're out of the honeymoon period).

I am 5 years post op RNY gastric bypass. It is common to have some limited weight gain after weight loss surgery. They call it a 20 pound bounce. The important thing is not let go beyond this 20 pounds. Most times this weight gain is due to a poor choice of snacks. Snacks should be limited to primarily to whole food options: nuts, natural nut butters, fruits, veggies, boiled eggs, string cheese, yogurt with berries and almonds, tuna pouches. Avoid processed packaged foods as much as possible.

Ok, I get you! So let me do the scenario another way? So let's say, you're taking in the amount of calories per day that are prescribed for you by your doc/RD. These are maintenance level calories based on your individual food requirements and exercise habits. The intention is that it's an isocaloric diet--you will neither gain, nor lose on it--supposedly. And you go about life over the next 2-3 years without changing one tiny spec of this prescription. You're still eating that same diet/calorie level. You are not cheating. You're doing your exercise at the same level, same amount per week, etc. Will weight gain be inevitable? Will you be held hostage to your body adjusting/acclimating and overcoming the changes made through surgery? Are we doomed to fight regain, even though we do everything right? (ie for RNYers we get part of our intestines removed, and studies show that at 2-3 years, our remaining intestines have grown more microvilli so that more food absorption can occur. So it's adapted to the new anatomy--at least partially.) ORRRRRR If we do everything "right" as described above, can we safely expect to be able to maintain our total original weight loss without fearing the 10-20lb regain? Thanks for entertaining this question with me and for any reassurances to the future!!

I was admitted to the hospital via the ER on Sunday January 21st in excruciating pain. By that Wednesday evening I was in surgery having my gallbladder removed. Since then I have gained 7lbs. Sunday - Wednesday I was restricted and couldn't, nor did I want to, eat anything. I was being pumped with antibiotics and fluids. Since being home I have watched my fat intake and sodium. Other than that, I am not eating things that I feel would cause weight gain. Being almost 1 year out from having my sleeve surgery this is scary to see my weight jump this much so quickly. This coming Wednesday would mark 2 wks post op and I have a follow up with the surgeon. Has anyone experienced this? I am hoping it is due to the trauma my body experienced and as I heal my weight would normalize again and not keep going up. I was also due to have my menstrual cycle the week of the attack but that has not happened either, again, I believe it is due to the experience and surgery. Anyone went through this and can tell me what to look forward to on the other side of healing, your comments would be greatly appreciated. I have been doing extremely well after sleeve surgery and I don't want my body to go backwards.

So Convinice YOU why a 9/11 First Responder who has 9/11 Related illnesses and is on multiple medications such as steroids which helps attribute to weight gain doesn't need to be called a fat pig? Excuse me. Who are you? You think it is OK for a Doctor to call a patient a fat pig let alone disrepect a 9/11 First Responder? Again. WHO ARE YOU? You must be somebody really important why we need to convince you why it is wrong to call another human being a. fat pig.

Ok, let's have some drama for the weekend and shake the tree!!!! Question: Is the only difference between meeting your goal and maintaining it long term versus losing some of the weight and regaining part or all, only about following your diet, weighing/measuring/logging and exercising (i.e. maintaining healthy diet/exercise practices)? ORRRRRRRRR Does weight gain at year 2 or 3 "just magically happen" through no fault of your own and despite continuing to eat the SAME exact healthy diet you were eating to lose and initially maintain? I mean, if you're still eating 1000-1200 cals/day and exercising 4-5 days a week, 45 minutes a day--will you regain the 10-20lbs regardless of how pure you are? Or is regain ONLY gonna happen when we revert to old poor food behaviors and overeating/eating crap or eating around our surgeries? I'm honestly terrified of being in this second group. I want to know what I must be on-guard about after surgery. Like I can't fool myself into believing that after surgery moderation in everything will allow me to lose and maintain my losses. It's just illogical. I never had balance before. I crave bad crap. Often eat emotionally. Etc. If I don't revise ALL of those things, it seems to me, I'm just a few bites away from regaining all the hard won losses? True? Or false? Will all of you who've maintained their losses please share your secrets for maintaining your weight losses without a regain or only a tiny regain, please????

I do feel compelled to say, however... (though it has been said before) It seems a lot of us with medical issues that contribute to weight gain (myself included at one point) tend to act as though food has nothing to do with the weight gain. If that is true, weight loss surgery wouldn't help. It is important to be honest with ourselves and realize that our eating habits are indeed a problem. Maybe not the ONLY problem, but a problem.

My Doctor (who is the inventor of the Duodenal Switch), doesn't believe in the liquid diet. Just clears 24 hours before. Due to my medication which was changed recently, my hormonal treatment made me gain weight. My doctor spoke with my Endocrinologist who verified the reason for the weight gain and understood. Weight gain, for people with medical illnesses could come for other reasons besides over eating. A good doctor will look for the reason why. My surgery is still on target for February 28, weight gain and all.

There is some fear mongering to an extent, and it's justified. It's easy to get a lot of empty calories from liquids. Slider foods (things like mashed potatoes or ice cream) you'll find you could still eat quite a decent amount of only a few months after surgery. The risk/concern is that because it's easy to have more of those foods people will transfer a food addiction to those. For instance my NUT told stories of somebody that nibbled on pizza all day long. They couldn't eat more than a piece in a single sitting, but the constant grazing led to weight gain. Same with somebody snaking on the mini Snickers all day long. Yogurts are a staple in my diet. No, they don't fill you up but it's a healthy snack and easy way to get protein in. I don't like offices that make this giant banned list of foods. You can eat nearly anything a few months after surgery. It's just a dangerous path to go down for a lot of folks. Some things are gone and have stayed gone (foods that I struggled with). Other things I allow myself to have maybe once a month and I'm fine with that. Pasta used to be dinner at least 2 nights a week. Now I have a little bit maybe once a month and that's all I care about having. I don't have cravings for it like I used to. If I never had it again I really don't care, and I was a massive pasta lover prior to surgery. I get why they do it but I think there are better approaches to take. The straw thing is mainly in the beginning to avoid the risk of drinking too much too quickly. I use straws now but have to remember that I can't pound a drink down like before.

So I know It’s only been 3 weeks after surgery had post op a week ago from surgery to post op I lost 17 lbs and in last week I lost another 5 then I weighed myself this morning and went up 2 lbs has anyone else gone through this I’ve been having a protein shake in the morning then hit the gym just treadmill no weights for an hour and then I’ll have a piece of chicken for lunch and another for dinner no veggies cause they said I had to weight till after the 4th week well if someone can help or let me know if it’s normal thank u.

Yes, I just had surgery a month ago. After reading many posts here on BariatricPal I discovered that many, many people hit a stall at three weeks. My sleeve journey started in April or May 2017; it was at that time I first spoke with a weight management center in my local area. I weighed 209 pounds at the time (my highest recorded previous weight was 240, but I was able to drop a lot of weight on a combination of a Belviq and phentermine, but then the meds stopped working). Of course there are prerequisites to having the sleeve performed and I spent months satisfying all of the requirements. Around September or October 2017, I was concerned that if I stayed on a low fat, low carb diet that I would lose too much and no longer qualify for the surgery because my BMI was going to dip below 35 (I have comorbidities including sleep apnea). When I called my weight management center and discussed my concerns with them, they said that I didn’t have to be really strict with my diet because I still did not have a surgery date. Well, very foolishly, my diet became a free for all and I gained 20 pounds in a few months. Finally, on December 14, 2017, I met with my team and when the dietician saw the weight gain she immediately had me go on the pre-op liquid diet. I had weighed in at 229 pounds. My surgery was scheduled for 1/2/18, so I was on that pre-op diet over the holidays and for longer than the usual 2 weeks. In retrospect, I am grateful that my team made that decision and I am glad that I stuck with it because by the day of surgery I was back down to 209. Today I weighed 193.4 - that’s a total weight loss of 35.6 pounds in about 7 weeks. I think that’s outstanding!

Actually, Little Green is a reference to a Joni Mitchell song, NOT a comment on my size - but I thought the title might be funny So I'm 2 weeks away from surgery and just started my liquid diet. I thought I'd officially start one of these "tell your story" posts so that I have a place to keep track of all my stats and thoughts. My highest weight is 381.25 and that was 6/14/14. After that I lost down to around 300-ish in about 18 months doing calorie-counting on MFP, but regained nearly all of it after my husband became disabled in a motorcycle accident. About a year after the accident - last March - I visited the bariatric surgeon for my first consult and I weighed 367 pounds. I've gone up and down since then but I started my liquid diet (today!) at 350.2. I am a classic story of overweight-since-childhood along with a rapid weight gain starting in my late 'teens after getting a job and my driver's license, giving me full access to fast food morning, noon, and night. I'm not sure of all my milestones throughout the years but I know I weighed 180 pounds in 7th grade at age 12, and more than 220 when I graduated high school. I'm 5'8 so BMI 25 is 164 pounds and my goal weight is 150. About six weeks ago I decided to go vegan and I've been transitioning into that diet ever since. I'm relying on plant-based protein supplements during the liquid phase but I hope to move to getting protein from whole food as soon as possible. My post-op diet will definitely be a lot higher in carbs than most people on this board are used to, but I'm confident in my choices and really excited about the health benefits in addition to weight loss. I am going to try my darnedest to weigh myself only once per month after surgery. I did the obsessive daily "don't drink anything, have a bowel movement, get naked, and weigh myself" routine during my MFP days and it was really harmful to me mentally. I'm also logging my food in a physical journal and I won't be weighing anything or measuring beyond the standard 1/4 cup, 1/2 cup, etc. meal sizes for post-op guidelines. Measuring food definitely works and I think many people can benefit from it. But again, it ended up being bad for my mental health. My ultimate life goal is to eat and enjoy an abundant amount of healthy plant-based whole foods without weighing or measuring portions. I know it will be awhile before I get there, but that's where I'm going and how I'm positioning myself for long-term success. So that's a little about me! I'm going to post random crap in this thread, like musings on diet stuff, numbers, feelings (I have a lot of them), my appointments, etc. Thanks for reading!

As a fellow asthmatic I can tell you steroids are notorious for weight gain. Ah you can't live with them and we can't live do well without them. As the King says in Anna and the King of Siam says " is a puzzlement" Sent from my VS880PP using BariatricPal mobile app