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I just don't see where it even says if you do gain weight during your 4 months nutritional appointments that they deny you I know that Blue Cross Blue Shield will but I don't see anywhere where Cigna says that they do that it's not that I plan on gaining weight that's the last thing I want to do it just does make me nervous because like you said water weight stress I just get so worried about stuff like that does anybody know if Cigna does actually deny you for weight gain? Sent from my SM-N950U using BariatricPal mobile app

Thank you! Yea, sadly they won’t lol My calorie intake eating as I would say like a beast protein after protein yesterday was about 600. Thankfully, I realized where I was gaining all the weight gain, it was from alcohol, I could drink a bottle of wine like it’s no ones business as I cleaned my home. So I quit the fun drinking and now am just focusing on fueling my body with what it needs

Hi, I am 6 1/2 years post op (gastric bypass), I’ve gained 54 pounds since my lowest weight of 245. I’m not up at 299 and need to loose the weight. I’ve taken the necessary steps to make it happen, but am struggling with my calorie goal each day (logging on My Fitness Pal), I can’t seem to pass the 900(ish) calorie goal, I’m eating VERY CLEAN and Lean. Is this too little calories or should I be consuming more? I do work out one on one with a trainer 3 times a week, and 2 other days, I’ll do Home walks and what not. In the past i went with calories suggested from MFP, and I lost 2 pounds in 2.5months (I was working out hard, and eating right, but eating the 1,875 calories MFP recommended. So this didn’t work for me. My trainer is training with other bypass ladies and says their goals are 1200-1300. Day. I can’t even eat that much unless I chose to go with pizza and icecream. Help me please, what should my calorie intake be to lose weight? I do realize my macros should be 60g of protein, but I’m clueless on fats and carbs too. Ugh, I’m so frustrated.

A bariatric surgeon named Dr. Matthew Weiner has several informative videos on YouTube, and one is about the reasons people regain after losing a significant amount of weight due to WLS. He was not my surgeon, but I found his videos to be very helpful. Besides lifestyle choices such as being sedentary and overeating, there are other possible causes of regain, such as certain conditions or medications. Steroids such as Prednisone can cause rapid weight gain. If someone injured their knee, as an example, and was prescribed steroids as part of the healing process, he'd have the double challenge of having to limit physical activity and taking medicine that will likely cause weight gain. Many antidepressants cause weight gain, as do various hormonal medications. Your stomach does not significantly stretch after having the VSG, but as your body heals and adapts after surgery you will be able to consume more than you initially did. There are many caloric "slider" foods that you can quickly consume without having the same level of restriction as with denser foods. I had the VSG in 2015 and have been maintaining a BMI on the low end of the normal range for over a year, but my weight bounces around about 10 pounds due to medical issues. I have Addison's disease which makes me dependent on steroids, which can cause my weight to rapidly surge. Anytime I'm going to be encountering a stressful situation, with work or even just something like a really long flight where I'll be sleep deprived, I have to take an increased "stress" dose, and I gain weight. I then just work to get that weight off again. But I can see how if someone was in a chronically stressful situation, that would be much harder.

Recently at the gym I spoke with a person that had gastric sleeve surgery about 3 yrs prior. She lost a tremendous amount of weight - 275 lbs. and over time gained back 200 lbs. My question is, how does that happen if your stomach only holds 1/2 c of food. I had the roux en y procedure and if I eat one tsp more than I should then I am miserable.

Weight loss surgery patients need to focus on getting enough protein, but that is not the only important nutrient. Carbohydrates have their place, too. Use them right, and you can benefit with more stable blood sugar, lower disease risk, They can even give you a better chance of keeping off the weight for good. In general, look for less processed, higher-nutrient, higher-fiber, lower-sugar carbs 1. Oatmeal. Despite its high carb count, oatmeal is one of the healthiest foods, even for weight loss surgery patients. It is a whole grain (gluten-free, if you are wondering), and is a source of soluble fiber. People who eat whole grains instead of refined ones have a lower risk of heart disease, diabetes, and weight gain. Have oatmeal with nuts or peanut butter for a little extra healthy fat and protein, and add cinnamon for a sweet flavor without sugar. No law says oatmeal needs to be sweet. Turn it into a savory bowl with a poached or hard-boiled egg, some feta cheese, and sliced cooked mushrooms. 2. Pear. Pears have a lower glycemic index and glycemic load than many other fruits, so they do not spike your blood sugar as much. They have soluble fiber, which helps lower cholesterol and blood sugar. They also provide lignans, which are heart-healthy. You can do way more with a pear than use it as a dessert or a side for cottage cheese, although those work, too! Try serving it with all-natural ham, or tossing it with mixed greens, walnuts, bell peppers, and cooked chicken breast. You can also turn it into a salsa to top fish or chicken along with diced onion, tomato, and cucumber, plus chopped cilantro and lime juice. 3. Beans. Beans are a starch you can love since they pack in the fiber and protein along with vitamins and minerals. They are linked to lower risk for certain cancers, as well. If they bother your stomach, try having small portions or using an enzyme product such as Bean-o. Kidney, pinto, garbanzo, and black beans – they’re all good! Make hummus with garbanzos and olive oil, or try vegetarian chili with beans, tomatoes, other vegetables, and seasoning. Or, make a taco salad or naked burrito with fat-free refried beans. 4. Pumpkin. Pumpkin has a medium glycemic index, but so few carbohydrates that your body will barely realize that it is there. Aside from the potassium and fiber in pumpkin, you will find amazing amounts of vitamin A in the form of beta-carotene – and that can only be a good thing after weight loss surgery. Butternut and acorn squash have a few more carbohydrates but are also excellent choices. Stir pumpkin and cinnamon into your oatmeal, or mix them into non-fat cream cheese for a flavorful, protein-packed spread or dip for apples. Add chunks of butternut squash to stew, or blend pumpkin into a soup to make it creamy. 5. Peas. Peas may have a bad reputation, but it is undeserved. Choose snow peas or sugar snap peas in the pod for a dose of vitamin C and fiber. Use them raw or lightly cooked to preserve their antioxidants and keep their glycemic load down. Use them in salads along with lettuce, chicken, and chopped vegetables, or dip them into Greek yogurt-based dips. You can also use snow and sugar snap peas in stir fry – just be sure to keep them crunchy.

1. Oatmeal. Despite its high carb count, oatmeal is one of the healthiest foods, even for weight loss surgery patients. It is a whole grain (gluten-free, if you are wondering), and is a source of soluble fiber. People who eat whole grains instead of refined ones have a lower risk of heart disease, diabetes, and weight gain. Have oatmeal with nuts or peanut butter for a little extra healthy fat and protein, and add cinnamon for a sweet flavor without sugar. No law says oatmeal needs to be sweet. Turn it into a savory bowl with a poached or hard-boiled egg, some feta cheese, and sliced cooked mushrooms. 2. Pear. Pears have a lower glycemic index and glycemic load than many other fruits, so they do not spike your blood sugar as much. They have soluble fiber, which helps lower cholesterol and blood sugar. They also provide lignans, which are heart-healthy. You can do way more with a pear than use it as a dessert or a side for cottage cheese, although those work, too! Try serving it with all-natural ham, or tossing it with mixed greens, walnuts, bell peppers, and cooked chicken breast. You can also turn it into a salsa to top fish or chicken along with diced onion, tomato, and cucumber, plus chopped cilantro and lime juice. 3. Beans. Beans are a starch you can love since they pack in the fiber and protein along with vitamins and minerals. They are linked to lower risk for certain cancers, as well. If they bother your stomach, try having small portions or using an enzyme product such as Bean-o. Kidney, pinto, garbanzo, and black beans – they’re all good! Make hummus with garbanzos and olive oil, or try vegetarian chili with beans, tomatoes, other vegetables, and seasoning. Or, make a taco salad or naked burrito with fat-free refried beans. 4. Pumpkin. Pumpkin has a medium glycemic index, but so few carbohydrates that your body will barely realize that it is there. Aside from the potassium and fiber in pumpkin, you will find amazing amounts of vitamin A in the form of beta-carotene – and that can only be a good thing after weight loss surgery. Butternut and acorn squash have a few more carbohydrates but are also excellent choices. Stir pumpkin and cinnamon into your oatmeal, or mix them into non-fat cream cheese for a flavorful, protein-packed spread or dip for apples. Add chunks of butternut squash to stew, or blend pumpkin into a soup to make it creamy. 5. Peas. Peas may have a bad reputation, but it is undeserved. Choose snow peas or sugar snap peas in the pod for a dose of vitamin C and fiber. Use them raw or lightly cooked to preserve their antioxidants and keep their glycemic load down. Use them in salads along with lettuce, chicken, and chopped vegetables, or dip them into Greek yogurt-based dips. You can also use snow and sugar snap peas in stir fry – just be sure to keep them crunchy.

We do not decide what surgical procedures are considered elective or not, that is decided by people far above my pay grade. My surgery date was moved twice because it was considered elective. On the day of my surgery my time was moved by two hours in order for a more urgent surgery to go first. Each surgeon and each insurance company has their own process to qualify for these procedures. Not every surgeon requires you to lose weight preoperatively, not every insurance company requires six months medical weight loss. People elect to have surgery in Mexico when insurance won’t cover it. Until bariatric surgery is not considered an elective surgery and they start performing emergency gastric bypasses and sleeves on the obese all of us will have to follow the program guidelines preoperatively. If there are medical reasons that program requirements cannot reasonably be met as far as weight gain due to actual medical diagnoses it would seem that proper documentation from a primary care physician would suffice if submitted to the insurance company.

Oh my just weighed myself today. I have gained 4 pounds can’t seem to get them off I do not know what to do. I am exercising and eating right. My surgery is February 7th. I am so worried that if I don’t lose the weight they will cancel my surgery. Any one ever had surgery cancelled? I am to start my period (sorry TMI) soon and I think that is why I am bloated, but will they understand that? Any advice?

i am happy that i found this board and appreciate the kind words and support i have received. i detest the judmental posts. we are all human here, no one is perfect. i am the 2 day cheeseburger poster...NO i did not eat it and was not SERIOUSLY considering it as posted above, but I was frustrated and asking if anyone else had experienced a LARGE surgery weight gain. Instead of reaching for a burger, I turned to this board for support. I dont think sharing our frustrations, temptations and slip ups are grounds for judgement. just my 2 cents worth but im braced to be judged for it.

Thank you to everyone who took the time to offer me words of encouragement or kindness. I've scoured the internet and this far the largest surgical weight gain I could find was 11 pounds. But the good news is I have lost the 14 pounds. So for any person who finds themselves in my shoes, know the gain is normal and temporary so is the frustration. I feel tremendously blessed to have found this awesome group of support. Thank you and God bless

I switched from splenda and went to Stevia. Splenda has so many adverse side effect and can cause cancer and weight gain.

So my surgery was on 1.8.18, and since I have had zero appetite. I will eat somethings ( still on phase 2 full liquids and soft foods) but most of my options are sweet ( yogurt, oatmeal,pudding, jello, premier protein) with the 2 exceptions of grits and mashed potatoes. I just rather not eat and drink water then to suffer through more sweet crap. Also has anyone else noticed a stall in weightloss after 3 weeks or even a lb or 2 weight gain? My husband says I'm stressing over nothing but idk. Sent from my SM-G930P using BariatricPal mobile app

No I did not realize this weight gain was to be expected this is why I created this post asking if any one else had gained 14 pounds. Thanks for the info

I did NOT sign up for a weight gain of 14 pounds while following the program do the letter. That is NOT a little.

Do people realize how stupid they sound when they say " I'm not going to lose weight because I don't want loose skin" or "I'm afraid to lose weight because of loose skin"? I know, I know, we may have all thought it at some point and time, however, chances are that mindset probably played some type of role in the weight gain and weight loss. But saying you don't want to lose weight because of loose skin is like digging your own grave. Saying your tired of being fat and continuing to make poor meal choices is like digging your own grave. Knowing you have a problem losing weight and not doing anything is like digging your own grave. You can live with loose skin a lot longer than living with all that excess fat, so shut up and do what you need to do to loose the damn weight. Ugh! Wake up people! You should have been thinking about that loose skin all that time you were eating cakes, cookies and pies with a diet coke. You can't deal with loose skin but you can deal with feeling tired all of the time, shortness of breath, low self esteem, diabetes, cardiovascular disease, high blood pressure, sleep apnea, fatty liver disease and all of the other possible health risks associated with being overweight? Really? Yes, I am clearly feeling some type of way about this topic and If you don't like it ....

If you eat a cheeseburger two days post op, guess what will happen? 1. Mostly likely, you'll puke. Puking solids at two days post op is very dangerous. 2. You could get a piece of it stuck and end up in the emergency room having it surgically removed. 3. You could rupture your stomach suture line. Which means endangering you life, and spending weeks in the hospital unable to eat anything until it heals. I get that you're disappointed that your weight is up a little. And I get that you're hungry and frustrated. I've been there. Most of us have. That is no excuse for this degree of acting out and behaving like you didn't understand any of the limits you were committing to when you had the surgery. You chose this. You knew it was permanent. You knew that not following the prescribed diet could cause you injury. You need to stop this acting out immediately and start following your program to the letter if you want to heal and have a good outcome. There is no excuse for eating cheese and cheese crackers 48 hours after surgery and threatening to eat a cheeseburger. Is being angry about a temporary water weight gain really worth risking your life? Try to be patient with the process. It sounds like you're panicking under the realization that a significant source of comfort is no longer available for you...and that's understandable, but it needs to be addressed. Not judging you at all...just very concerned that you're about to do something you'll badly regret. I truly hope you feel better soon.

You do realize that pre-op & post-op weight gain/loss is expected right? I see a lot of people on here concerned with their gain/loss when it is completely irrelevant. I honestly don’t know why anyone is concerned or is even keeping track at this point when the real concern should be preparing/recovering. Really the only time anyone should be paying attention to the scale is when the transition to solid food has been made & even then results shouldn’t be expected immediately. Before I had surgery I devoured all the water I could & after surgery received god knows how many bags of fluids as well as the fluids I had started drinking. I don’t have a scale at home & honestly don’t care to. I’ll leave it to doctors appointments or the gym to see what I weigh & even then there’s no rush. All that should matter really is that in the next 6 months to a year I hope to see 100 pounds less of me than a year before & everyone else should be hopeful to see the same.

I had the sleeve at 19, I was terrified of the bypass because I was nervous about them touching my intestines, but now at 22 after weight gain and awful heartburn that led to stomach ulcers, I will be converting in July. Just looking for anyone who may have converted, what was different post op with the bypass than post op with the sleeve?

Actually, my personal reason for gaining weight is that I am a 9/11 First Responder who is on massive amounts of medications and recently had an increase in steroids which increased my weight which was verified with my Pulmonary Doctor. That being said, Addicts are prone to relapses. Because somebody has a relapse does not mean they don't want to stay clean. The worse thing one can do, is insult and addict. If a person who falls off the wagon and somebody degrades them, chances are they won't try again. Statistics prove that 60 percent of people relapse. It has nothing to do with them not to want to stay away from their chosen addiction. I am a food addict. However, an increase of medication caused me to hold water weight which no amount of dieting would get off. I have two issues. Gaining 4 lbs when in the past 6 months I have been losing does not (in my case) mean I am not serious. One has to look at the reason for the weight gain. And yes. If a person over ate doesn't mean they aren't ready for the surgery. Addicts relape. A good doctor would find out why.

You didn't deserve to be treated like that even though you've gained weight. Maybe he was irritated by the weight gain - he's a professional and he surely has worked with other patients who found themselves in the same place. You'll pull through and be ready for surgery. Really. You can do this, I promise.

Lost story short, My mom is not being supportive of me having surgery. Honestly, it kind of sucks. My husband, sister, sister in law, brother in law, and best friend all are. I've only told them... but my mother is telling me I can lose the weight on my own. She knows how much I suffered with my weight all of my life... But she doesn't understand that PCOS, Endometriosis, Hypothyroid and Hypertension all cause water weight/weight gain (idk if she just doesn't believe it?)... Do/Did you have a family member or friend who wasn't supportive?

That's so good to hear! I have a viscious type of IBS and I'm terrified the surgery will make it worse. Even though it's hard to imagine how! It got worse with weight gain though so I'm keeping my fingers crossed that it will improve with loss. Sent from my Lenovo TB3-710F using BariatricPal mobile app

Hi. All surgeons have different expectations with weight gain/loss. Weight gain was a problem for me if I went over my consultation weight by even 1 lb. If that happened, I would not be scheduled for surgery and my process would end. I understand the food funerals. lol I had 4 and my husband was getting a little worried that I had gone off the plan completely. He didn't understand why it was important for me to have my last meals. (That was frustrating.) Good luck. I think you'll be ok as long as you didn't go over consultation weight.

In weight loss if we stumble we tend to then throw ourselves down the stairs. Don’t. Resist the urge to focus on the weight gain, instead focus on the loss and know you can again. Go back to basics, maybe revisit your nutritionist or get one if you don’t have one. Take it slow and don’t be discouraged. You can do this. Don’t bite off more than you can chew, instead start slowly and move to where you want to be.