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Hello all! I am curious about the 6 mo diet, I have my weigh in tomorrow morning for my 5th month. I am concerned that I will have gained a pound or two. My start weight was 274 and currently I am at 264. My weigh in last month was 262. Has anyone been declined due to weight gain like this?? I have not planned on it, but should i try laxatives to get those two pounds off? I would DIE if i got declined for a stupid 2 lbs weight gain. Any information about The 6 Mo supervised diet would be greatly appreciated!

I've been on Wellbutrin for awhile and actually lost weight at first, then I just stayed about the same. When my Dr. suggests a med change, she always tells me about the side-effects of the drugs she is considering. If there is any indication of weight gain, she tells me and we have decided to avoid those drugs, if at all possible. There are so many choices in drugs now, maybe your Dr. can find another one that will as well, but not cause weight gain.

Today, Oct 20th, marks my second anniversary of this surgery we call RnY. In a very real sense it feels like the second birthday of the new and improved me. I can't help but reflect back on all of the changes that the last two years have seen. And at the same time, thinking in terms of new goals and challenges for the coming year. The first year following my surgery was an exciting time indeed. I was laser focused on one thing - achieving my optimum weight. I decided even before my surgery that rather than set a specific goal weight, I would allow my body to tell me when it was where it wanted to be. Just over a year later, that message came at 155 lbs. My weight stabilized. I felt great. And in my one year follow-up visit with my surgeon, she recommended that I not lose any more. It was time to shift my thinking, and my actions, away from losing and toward maintaining the new, 130 lb lighter, me. I had reached my destination. When I looked back at that first year, it occurred to me that is was much like what walking a tightrope would be. Maintaining an average calorie intake of just under 1300 calories a day was something of a delicate balancing act. There were days when I was over my goal. And those days had to be followed by "corrections" - days when I was under my goal. It was all about balance. And in the back of my mind the nagging, and always present fear that one misstep could result in all being lost. The more rational, confident part of me did not think that would happen. Still, I knew the surgery could be defeated. What if... So in that same follow-up appointment, my surgeon recommended that I increase my calories to approximately 1800 a day. To be sure, the number had some appeal. But I was concerned that it might be too high. What if? So I opted for a gradual increase to a more conservative 1600 calorie goal. My decision was undoubtedly due in part to a concern that kept going through my mind. It seemed that everywhere I looked, I read that many (if not most) bariatric surgery patients gain 10-20 lbs somewhere between 12 to 18 months post-op. A weight gain that is often described as "bounce back". That was out of the question. I was determined to not let that happen. So my goal for this past year became ensuring that I held my weight at, or very close to, the 155 lb mark. As the days and weeks went by my confidence grew. I decided it was time to really get to know my new body. I was tired of the balancing act. I wanted to enjoy a nice dinner at a nice restaurant with my wife, our family or friends. Or Celebrate a holiday or birthday enjoying the food that is inevitably part of festivities. I needed to test my limits. And I needed to know whether or not I had what it takes to do those things and still control my weight. Thanks to the amazing power of my food log, I got my answer. And it was in pursuit of that Quest that I discovered something quite remarkable. First there was the occasional 1800 calorie day. Not surprisingly, the following morning weigh-in usually reflected a gain of a pound or so. So my calorie goal became 1400-1500 for the next day or two. And sure enough, my weight would drop back down. Not just once or twice, but a number of times over the weeks and months that followed. Then came the occasional 2000 calorie day. Not often, but every now and then. Weight went up. Calories were reduced for a day or two. Weight came back down. At some point along the way I had a revelation. Controlling your weight is not about walking a tightrope - it's about riding a teeter totter. Up...and down. Up...and down. Gently. Relaxed. No fear. One misstep is not catastrophic. Wow. Since hitting the 155 lb mark almost a year ago, my weight has never been more than 156, or less than 151. This morning, this second anniversary of the new me, 152.2. No bounce back. Wow. So my goal for the coming year? More of the same. I have read in many places, including this forum, that maintaining your weight becomes more difficult after the two year mark. But I will be facing that new challenge coming not from a place of fear, but of vigilance. My food log will guide me. And it will tell the story. So next year, same time, same place - the next chapter in this amazing, life-changing journey.

Generally they want to know if there are any underlying psychological issues behind your weight gain and whether you have the fortitude to stay with the program.

That was the case for me, I was over 60bmi and as such my insurance did not require me to do the 6months physician weight loss plan. but despite being given the green light, I opted for the 6 physician visits, because I wanted to learn more about my body and the food I consumed and as i result i learned more about me. It was sort of strange, every one at my surgeons office from the Physician assistant to the NUT asked me why i wanted to do it this way, and my response was something like, surgery is not a silver bullet, if I don't mentally prepare I will fail.. I am glad I took the extra time.. despite the extra weight gain and pressure to get under 400lbs to even have the surgery, it was worth the battle for me.

I am still in the pre-op phase of dieting. I am doing what my nutritionist recommended and can't have any weight gain prior to insurance approval. I am really struggling with eating of boredom or "mindless" eating. I have a desk job and used to just snack during the day while at work. I'm stuck at my desk and it's a real struggle to not think about food. I feel hungry, but think it's just mind hunger, if that makes sense. Anyone have any tips on how to get past this?

Can anyone tell me how day of surgery goes at Kaiser? When is the final weigh in? Have any of you had your surgery canceled due to weight gain? I haven't gained weight but my body hates me and I'm stressing out about being one lbs heavier or something. Sent from my Z828 using the BariatricPal App

Hubby likes to eat out a lot and over a 20plus year marriage it has added to the weight gaining for me. Not now. He orders ala carte grilled shrimp at longhorn (I get the veggie he doesn't want or we share), or I order soup or we share his meal. I have been blessed with NOT having a waiter/waitress make a big deal about me not ordering. Last night I decided to quit getting water for my drink, I got a look. I explained when she made sure I didn't want anything to drink that I am not suppose to drink because I had WLS. If I have a drink I tend to sip - when my mouth gets dry from chewing some foods. To stop over drinking before and after I will just NOT get a drink. I will steal a sip (if desperate) from hubbys drink ;D

So is it normal to gain weight during the process? I start the liver reduction diet on Monday, January 9 and VSG is on January 23, 2017. Sent from my SM-G930T using the BariatricPal App

My wife was originally planning on having WLS (specifically VSG) after watching my successful recovery with relatively minor complications and successful weight loss. She was going to wait 6 months after my post op to see how things are progressing for me before making a decision to attend a WLS consulatation. Regardless, her latest decision is to not have WLS for a couple reasons. 1. Slimes and throwing up: She didn't like all the slimes and throwing up I went through when adjusting to the solids phase. It was mainly my fault because I am a fast eater and it took me a while to learn to "hear" the full signals. I had to learn how much to eat, how fast to eat and what types of food my sleeve an tolerate over time. Regardless, she didn't like seeing me in the bathroom so much after eating. I am better now, but still have issues with eating stringy things like roast bean or string green Beans in addition to fatty meats. Truely, it feels like dumping syndrome. I do try to explain to her that not everyone slimes and throws up and most of the time, it was my fault. 2. Auto-immune disease: She has at least 1 auto-immune disease. The one that she has requires an infusion of remicade every 6 weeks. This is one expensive infusion. It is called Ankylosing Spondylitis. You can follow the link for more details. It is basically an auto-immune disesase that attacks all the joints and there is no cure. When we talked to the surgeon during one of my pre-op visits, he said that people with auto-immune diseases might have more complications, but did not go into the details. She might also have PCOS. We do not know yet and will find out soon. This is where I could really use some advise from others. She has about 150 lb to lose as we both ended up in the same weight range at our heaviest earlier this year. Maybe it is because of life stresses? Who knows. The fact is that her extra weight may be contributing to other complications like high blood pressure, pregnancy issues, lack of desire to be outdoors like walking and hiking and on and on. There are plenty of reasons here alone that would make sense for her to consider it. She has tried manu diets (as I have), but has never lost more than 10-20 lbs on them. Atkins, weight watchers, etc. I've had fairly good results from the diets because I am very focused when something needs to be done, but then I lose my focus and the weight comes back. Hence, WLS was the only tool left for me in order to stop the up and down of weight gain and weight loss. She used to be "thin" (size 12) in high school, so I am pretty sure she remembers what that is like. She was a pretty hot girl in her younger days. In college she was slightly overweight, but still very hot and sexy (we got married then). We both put on a lot of weight in the last 12 years of our marriage. I don't hold the weight against her (never have), but I would like her to be healthy to avoid future weight-related complications. The weight does not cause her to be unhappy about her life (mainly family is what makes her happy). She is usually in a positive mood and certainly brings happiness and well-being to my life. I would like her to consider WLS because it is life-changing and truely opens up a lot of opportunities that did not exist before. However, I don't want to push her into something she is against. Any thoughts?

So Monday is my surgery pending insurance clearance. Thursday I have a pre-op pre-admission test. I had a 6 month nutrition program that I had to lose 25 pounds to qualify and I did. Exactly 25. My problem now is that I gained some of that back. I’m so worried they will deny me, the doctor at least. I worry about everything.

Even with the same insurance provider, policies can vary. Are you required to lose weight in order to be approved? This is typically information that your surgeon's office gets from your insurance provider, so I would check with them. You can also check with your insurance provider, but I've personally had issues with customer service reps giving out bad info. If your policy doesn't require any weight loss or exclude you from approval for weight gain, it shouldn't matter. You may also want to ask your surgeon if he or she will do surgery if you've gained weight, as some surgeons won't.

Good evening all. I'm scheduled for rny on 9/12. I have my final weigh-in on 9/6 and watch the drop video. I'm in Michigan and wonder if anyone knows someone who surgery date was cancelled due to them gaining a few pounds. Right now with changing my eating and exercise seems like I'm up in a few lbs and scared they are going to cancel my rny. Does anyone know if someone surgery was canceled. Thank you everyone

Hi everyone, I had a slight weight gain (6lbs) between my very first visit with the clinic and surgeon ( I had my period and I was weighed at different times of the day) and I was told you can possibly be denied for that. I did call the clinic and they told me it was ok, you are allowed some fluctuation. I’m the same now. I am waiting for insurance approval at this point. Anyone have any experience with this? Thanks in advance!

So last week I turned thirty and celebrated by drinking and eating all week. For the most part I was eating a little more than normal. However the alcohol seems to have speed up my weight gain to six lbs. I pretty much only worked out twice last week. Point I'm trying to make is I thought since I hadnt gained weight I was good. Served as a wake up call that this is a lifestyle change I must make and adhere to otherwise it'd be easy to gain it back. Oh we'll back to the gym and healthy eating =-)

I am so nervous about my 1st appt tomorrow with the surgeon. I have always been borderline the required BMI of 40 (The only health issue I have been diagnosed with is obesity and pcos) . I have been over 40 since September. Before that I have hovered around 38 and 39 with no health issues except pcos. I attended the required seminar over a month ago. Shortly after, I had my first Nutrition visit. Im thinking I should have held off with the NUT visit until after I met with the surgeon but I was in a hurry and didnt know how many months of those visits Blue Sheild/CA would require me to do so I thought Id give myself a head start. I was even told by the staff at the surgery center to go ahead and start the NUT visit but they advised me not to loose any weight because that would take me under the required BMI. WELL I ended up gaining 3 lbs over the holidays. If the Surgeon wants to go by the weight from my first nutrition appt, im hoping she doesn't disqualify me from the weight gain. I guess im not asking for anything here...just some encouragement for tomorrow visit. Is anyone else going through this with no family support?

BLAH BLAH BLAH BLAH (yes, I'm screaming.) Same F-ing boat (yes, I'm cussing, too.) Same weight gain. Same everything. This is Day 2 of being good for me, and it sucks. No Snacks, no soda, no diet soda, no nothing. Lettuce with Protein for lunch. Fruit F-ing cup instead of goodies. Blah, blah, blah. My big treat for the day was a chewable Vitamin that left a nasty taste in my mouth. I even felt guilty for that. I got so far off track that eveyone at work is afraid of me now. They are all supportive (except the "Big E") and they know I mean business. I'm friggen flying off the walls from ODing on ice tea with fake poison chemicals. I would lick a dirty foot for a Coke right now. You're not alone.

thank you and i know i shouldnt compare myself to others, but im so bummed. is it common for weight gain after surgery?

I have my first post-op appointment today. I was banded June 22. I'm down a total 8lbs which is disappointing but i was warned not to expect weight loss after surgery and possibly even a weight gain until I start getting fills. I'm excited for my fill today. i'm ready to get this show on the road!!

I am one month into my six-month medically supervised diet and have already accomplished so much. All that is left is my psych eval, to complete my six months, and to submit my application for pre-approval. That is it! I should feel elated at getting my checklist near-done, yet I am finding that I do not have much to focus my attention on now that I am as done as I can be for now. This deficit has left me feeling a little depressed and I worry a lot about being turned down by my insurance (HMA through PeaceHealth). I should be occupied with work and graduating this fall, yet that is not what is occupying my thoughts. What does everyone focus on during this time of waiting? How do you stay positive? I suppose I am used to instant gratification and should feel grateful to have this time to work on the problems that led to my weight gain to begin with. Where do you find your hope for a better tomorrow regardless of the uncertainty? How do you focus? Thank you all in advance for your advice. I appreciate it.

Did you gained weight during your 6 months visit? If so did you still get approve ? I have amerigroup they don't require me to lose but I'm afraid I gained last months I was on my period, and I gained this month :/ and on my period too

I'm so glad my surgeon doesn't cancel surgery dates due to a weight gain in the pre-op stage. The reason most of us are having or had WLS is because we struggle to lose in the first place.

I'm going to share my positive experiences with having the VSG with the hope it will ignite a spark of optimism in you about it. Besides my mild state of panic about having the IV inserted (I have a completely irrational needle phobia and always freak out about them, no matter how much I promise myself I won't) the surgery itself was as smooth as it could possibly be. When I regained consciousness I actually was confused for a moment and thought the surgery hadn't happened yet because of the absence of pain and discomfort. The anesthesiologist had done a terrific job. My period started during the surgery, and it did feel like the cramps had been amplified that first day. I'd brought a heating pad with me, and that provided some relief along with the ample pain medicine I was given. I was slightly nauseous but that abated when they increased my meds a tad. I slept for a few hours, and then felt ready to start going on laps. I actually was told I needed to slow down my pace because I was feeling so well I just zipped up and down the hallway. I slept very well through the two nights in the hospital, and during the day would snooze when I wasn't walking or watching movies. I brought my laptop and a HDMI cable so that I could hook it up to the TV and my parents (my support team since my husband was working) and I could watch them. I had the surgery in Tijuana, Mexico, because my BMI was too low for my insurance to be willing to cover any of the costs, and the facilities exceeded my expectations. After I was released I felt energetic enough to go to the little touristy area and explore and shop, and then chilled out by the pool at the hotel. After we left Tijuana my parents and I went shopping at the outlet just over the border before making our two hour road trip back up to LA. We stopped at a couple of scenic places, and at Panera for dinner where I had broth. I felt completely comfortable the entire way, without being burdened by fatigue or pain. The only discomfort I experienced was from an allergic reaction to the tape used over the incisions. They caused tiny, itchy, angry welts. Fortunately they healed quickly. My recovery was easy. In a way it was even enjoyable because I gave myself permission to just lounge around the house and recuperate. I'd stocked my kitchen with Protein powders, popsicles, Crystal Light, PB2, broths, Jello, and the like before surgery, along with everything else I thought I might need, and put the house in order so I could just relax. The blog site "The World According to Eggface" has a great post about things to stock up for the liquid phase, and I recommend that you check it out. You can also find packing list for the surgery on YouTube and this forum. I binge watched Ray Donovan and all these other shows people had raved about but I never had time to watch, read books, and took gentle strolls through the neighborhood. I'm a professor, and I started teaching one month post-op with more vitality than expected. I was back on campus preparing for the quarter prior to that point. I think if I'd had another job a total of two weeks off - one for the surgery, and one for post-op - would have been sufficient. I'd worried I'd be lacking in stamina, but was already benefitting from the weight loss in that first month. I've increasingly gained energy, fitness, and confidence in the months since surgery. I learned about my appetite changes and got myself into an eating and drinking schedule during the time in between surgery and going back to work. I threw up due to having the VSG just once. I'd eaten something that was spicier than expected, and guzzled Water to try to put out the flames. That caused me to throw it up. I was really sick in December, but that was due to a virus that several of my students had, and I would have gotten regardless of having had the VSG. It was a week of misery, and then I rebounded. I'd been a tad bit concerned prior to surgery that I'd lose hair, have loose skin, and would look and feel aged. I'm grateful that none of those problems became a reality. I lost a tiny amount of hair around the four-month mark, but it was only perceptible to me. My skin isn't the least bit loose, and my scars have faded entirely. You cannot tell I ever had surgery. I'm in my early 30s and am now getting carded again, and confused for being a student. Strangers have paid me sweet compliments. I've gone from a size 14 / XL to a size 6 and am still losing. The shirt I wore today was an XS. I have PCOS and have seen an improvement in my blood work and symptoms post-surgery (no more painful acne breakouts that throb all night and make me want to hermit at home because they are so unsightly). This time last year I was incredibly self-conscious and would dread the thought of running into friends I hadn't seen in a while because I knew they'd notice my weight gain. I shrank into myself like a turtle retreating into its shell then. Now I am emerging, blossoming. I am actually living my life instead of just existing in it. I feel freed. I had mentally prepared myself to have "buyer's remorse" because I'd read that it was quite common, especially in the first month, but I have honestly never regretted this surgery. For every medical procedure there is, there is someone who has had a painful and horrific experience. Someone who has had everything that could go wrong go wrong on them. There are people who've died from having their wisdom teeth or their tonsils removed, from reactions to OTC medicines, from childbirth. And we're surrounded by risks everyday - cars, tubs we could slip in, food we could choke on. You have to look at the risks of not taking action, too. Obesity can shorten your life, and it can shackle you to health problems. The VSG is really a low-risk surgery if you chose a qualified surgeon and follow the guidelines given to you. Many of the problems people experience post-surgery have solutions to them. As an example, some people with acid reflux problems have felt better by taking a PPI. People who are very fatigued might have a Vitamin deficiency a blood test can identify, and then they can treat. I felt better when I increased my Vitamin D. You're likely to be able to make it over any obstacle you encounter, too. Hopefully you'll go for this surgery, and you'll benefit from it like I and so many others have. Best wishes to you.

Comparing info... I asked my Dr. at our initial consultation if you can gain weight back after the sleeve? He told me the new stomach can not stretch more than 5%. At my psych eval, I mentioned that & the psychologist was floored; said he knew people that gained it all back after the sleeve! That scares me. Curious what others' bariatric surgeons told them about possibility of weight gain? My doctor, Dr. Kuhn, also sad the max. you could expect to lose is 80% excess body weight (on his web site, it says 70%).. Yet, on the forums, I see people who have lost more weight. Wondering if that is a rare occurrence? What did your Dr. Tell you?

Getting down I keep going up and down two pounds. I started at 210. Now I'm at 214. I always gain about 5 pounds right around my period. has anyone been denied for weight gain. It's a small amount but I'm working to get off.