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I had GERD before surgery (which is why I went with bypass). I was a slow loser, but I never attributed that to GERD. Plus my GERD disappeared after my surgery, so it wouldn't have been a factor in my rate of weight loss regardless. How fast or slow you use usually depends on age, gender, starting weight, how muscular you are, whether or not you lost a lot of weight prior to surgery, how active you are, how closely you stick to your plan, and your metabolism rate (I may be leaving a couple of things out).

My bmi wa 37 but I only carried my weight in my belly. I was on 20 mg of protonix then after I was bleeding internally they bumped me up to 40 mg. I’m daily and now dr wants me on 40 mg of protonix and 40 mg if Pepcid which to me is stupid this is my bariatric surgeon. I’ve been arguing with her that none of this is working and my burping has increased back again. That’s a lot of weight loss in 6 months, I’m still at 180 and it’s been 4 months. Idk if I could drop that fast in 2 months……… I already lived through the dos and donts as a GERD patient.

The tough truth is that you can't "spot lose" weight. Losing belly weight will come with losing weight in other parts of your body as well. Only sure fire way to get rid of your belly fat without affecting other parts of you is via plastic surgery/liposuction.

I am short 5'2" so my starting weight of 235 put me at 43.0 BMI, which is classified as Morbidly Obese. I did not have GERD/acid reflux prior to my sleeve surgery, but I developed it after. I take/took the lowest dose PPI to control it, as well as adhere to a couple self-imposed rules to manage symptoms (sleep on empty stomach, etc). Having it did not seem to affect my weight loss: By 6 months later I was 130 lbs...(lost 105 lbs) Weight levelled out at at 10 months post up and I clocked in at 115 lbs (lost 120 lbs total). 5+ yrs later I am 116.7 lbs this morning...and i still have GERD/acid reflux.

also, I've never heard that people with GERD lose weight slower than people who don't. You're probably losing it slower because you didn't start off at a very high BMI to begin with.

I agree with others have said. But about people starting at 240 lbs and weighing 120 after six months, that would be VERY unusual. People starting off at 400+ lbs might be able to lose that much in six months, but 240 isn't all that high of a BMI when compared to other WLS patients. That's on the lower end of the range. Starting BMI is a big factor in how quickly the weight drops off, at least in the early months...so I would be very surprised to see anyone starting at that weight lose 100 lbs that quickly.

As I stated I’m not in this for weight loss. My issues are belly fat and working hard to get rid of it since I couldn’t workout for 15 yrs because of regurgitation, vomiting and pain with my hiatal hernia. My question was only asking about GERD patients losing weight slower than regular obese patients. I don’t have any food issues and my dietitian has no worries about me. I’ve always carried good muscles in my skinny legs. I don’t compare myself to no one I just can’t believe these bariatric weight loss videos people have actually lost that much weight in 6 months as they claimed especially how huge they were. My reflux has always been horrible and I’ve been on medication for 15 years daily. Now I can only stay off for 4 days but I’ll have bad silent reflux. My GERD is unmanageable even with a strict diet. My surgeon thought since I never had GERD with my 2 older kids maybe it would subside now. This all went downhill after I had my 3rd child.

Yes, pre existing gerd is a hard no for sleeve in almost all cases. Sleeve won’t fix it & will likely make it worse necessitating a 2nd surgery to convert to bypass. I had reflux/gerd before my sleeve. The only reason my surgeon decided to proceed with a sleeve was because my reflux was mild & I managed it for years with dietary choices. I only took meds a couple or so times a year. If it was more severe, & I needed regular medication, he wouldn’t have done it. My reflux is worse & I take meds every day which manages it but the symptoms are different. We have similar stats in regards height & I had a similar starting weight (200lbs). Having reflux didn’t hinder my weight loss. Plus I’m menopausal (perimenopause & menopause was when I put on the bulk of my weight & pushed me to obesity). I lost all my weight plus more & have kept it off. And I wasn’t active at all Lol! Avoid comparing your rate of weight loss with anyone else. We all lose at our own rate & what is best for us & our body. Comparing usually leads to frustration & worry. Have you met with your dietician recently & gone through your meal tracking? There may be something you’re missing or need or don’t need. A stall of more than a month isn’t common. Try to increase your fluid consumption. You should aim for 64oz or likely more as you say you are very active. And yes, while muscle weighs more than fat it’s not that much more. Say a container of fat weighs 1kg. The same container of muscle weighs 1.2kg so we only talking ounces of difference. Have you been taking body measurements to better understand where you might be in regards to muscle growth?

Oh I know all about as a GERD patient I’m supposed to have bypass. But this surgeon wanted to test if it would go away after hiatal surgery. But so far it hasn’t. Plus going through perimenopause makes it hard as well with my GERD. We do deal with a lot of issues and she stated as a GERD patient it’s harder for us to lose weight so I was wondering if it was true. My surgeon said i have until 2025 to get bypass if my gerd doesnt stop. I may push for it done sooner my GI dr thought i had barretts already.

I'm shocked you were offered the sleeve with GERD. That shouldn't happen because the sleeve is known to cause GERD, even in those who didn't have it before. GERD in and of itself doesn't make it harder to lose weight, but the effects of having GERD flare ups can. Mostly because it's so painful and uncomfortable and hard to move around.

I am a Gerd patient and got the sleeve Sept 5, 2023. My HW 210, SW 206, CW 180. I hit the plateau in November 2023 and havent lost any weight since. I did have GERD previously before the surgery with a hiatal hernia 2cm; but, my stomach was literally stuck in my chest since 2008. I was told by my surgeon that GERD patients have a harder time losing weight. I workout 4 days hard since 3 weeks after surgery, I still watch what i eat as a GERD patient not weight loss. I want to know if anyone is going through this stall as well. I've seen videos of people around 240lbs weighing 120 6m after surgery.To me that is crazy, I do eat carbs but its limited and I still keep my protein intake above 90g daily. I do track my meals and i'll have days ill eat 1000 cal or below and sometimes as high as 1200 cals. I do drink about 48 oz of water sometimes less or more. When will my plateau stop or is it cause i am building my muscle fast; I was never obese just in my belly that is my issue. the left pic is 1 yr before surgery and the pic on the right is 4 months after surgery

Why do people act like you get a BBL? lol it’s a weight loss surgery! There’s still so much work to be done! No ones walking out with an hourglass figure

I won't be at three months until the end of January, but I am in a stall (two weeks now). I have been at the same weight (give or take a few ounces) since January 3. It is really frustrating, but expected. I have done really well otherwise. I have not cheated and sailed through the holidays (and Disneyland) without being tempted (well, I was tempted but did not give in). I am very proud of that (and my daughter has been making bread, cookies and muffins weekly--I have not had any of it). I think I am a slow loser, but am happy with what I have lost up until the stall. I need to drink more water and exercise more (though the last week we have had ice storm upon ice storm), but am getting in the protein. I am trying to concentrate on how to get a variety of healthy foods as opposed to eating the same thing. I also need to meal plan more. Is anyone tired. I get enough sleep but sometimes feel my energy is low. Anyone else having issues with that? I hope everyone is doing well. I too am curious to hear how everyone is doing.

I'm only four months post-op and have lost 65lbs as of this morning. I've been trying to maintain 900-1000 calories per day with a minimum 70g protein and trying to limit carbs to 50g or less and fat to 35g or less. At my three month post-op consult with my bariatric nutritionist, she was satisfied with those numbers and was happy with my weight loss progress to that point, which was 48lbs. I'm currently riding a plateau and have only lost 3lbs over the past couple of weeks, but it's my second one since surgery and while frustrating, I know it'll pass.

Agreed with what the others said. Be careful lifting weight, including the grandkids, before you are ready. It just takes overdoing it once to cause a hernia, requiring additional surgery. Other than that, the movement is a good thing, but listen to when your body says its tired. Balancing exercise and rest is very important the first month or two. Would you rather have a little more rest now periodically through the day while still getting somethings done, or overdo it and force yourself into a situation where you have to have repair surgery and risk several weeks on bed rest getting nothing done in the future? To prevent overdoing it, look into the Pomodoro Technique. Basically set a timer to do a task for "x" number of minutes, and then rest for "y" number of minutes. Early on, you may want 10-15 minutes of activity followed by 30-45 minutes of rest. Then as you progress, shift more time into activity and reduce the rest time, but its most effective keeping the entire cycle under 1 hour total. As far as the internal pain goes, its likely its still gas trapped and built up. Take Gas-X, and when you're walking around, do exercises with your arms lifted or over your head. I'm not sure exactly, but it has something to do with the blood flow being distributed to all of your limbs and helping breakdown and expel the gas quicker. I would have it go from my lower left side to up in my shoulders, and it was just a discomfort I couldn't shake. That movement and the medicine helped to break it up and would give me a few hours of relief.

most people with bypass don't have complications- and of those who do, they are usually minor and correctable (or in the case of dumping, preventable). Major complications with bypass are pretty rare. only about 30% of bypass patients dump. I never have, and neither do most of the other bypass patients I know. For those who do dump, it can usually be prevented by not eating a bunch of sugar or fat at one sitting (which none of us should be doing *anyway*). I threw up occasionally the first few weeks after surgery when I ate too much, too fast, or something that my stomach wasn't going to tolerate, but now I throw up about as often as I did pre-surgery - that is, very rarely. And as for food intolerances, most of those are temporary, but some can become permanent. But you'll figure out what your body will and won't tolerate pretty quickly. re: only eating a couple of bites of food. That's only in the first few weeks after surgery. For the last several years, no one would be able to tell I've had bypass surgery by watching me eat. They'd just assume I'm a "light eater", like many of my women friends who've never been obese. When I go to restaurants, if I'm not that hungry, I'll order something like an appetizer, soup, or a salad. If I AM hungry, I'll order an entree, eat half of it, and box up the rest to take home. Most of my women friends do the same thing. you're probably seeing more issues with bypass for two reasons: 1) it's a much, much more common surgery than SADI. As in a LOT more people have bypass than SADI, so of course you'll see more on it. 2). after people get over the first few weeks (which can be tough with either surgery), they usually only post when they're having some issue, because they're looking for advice or support. People who've never had issues (which would include most of us) aren't likely to post that everything is hunky-dory. as far as which to choose, they're both good surgeries. Advantage of SADI is it's a stronger surgery, and you'll likely lose more weight with it. Disadvantage is regular doctors (as opposed to bariatric surgeons) know a lot more about bypass than they do about SADI, so your PCP may not be able to help you if you have issues - they may have to refer you to a bariatric specialist (which, of course, is fine - but just something to keep in mind). Also, if you have GERD, bypass is usually the better choice, since it tends to improve GERD, if not outright cures it. SADI involves a sleeved stomach, which can cause GERD in some people (or make it worse if they already had GERD before surgery). It doesn't happen to everyone, but it IS a risk... good luck with your decision!

Unfortunately newer GLP-1 agonists like for weightloss like Zepbound (counterpart to mounjaro) and Wegovy have limited availability in Europe. But I believe Saxenda is available in Italy. https://www.politico.eu/article/health-fake-weight-loss-drugs-ozempic-and-wegovy-surge-in-europe/#:~:text=In Europe%2C Wegovy and Ozempic,it's available in the U.S.

Is it possible your endocrinologist would consider prescribing one of the new GLP-1 medications? In cases where you've had the surgery, are doing everything right with nutrition and exercise, and still can't lose weight, I've heard a drug like mounjaro can make a huge difference. It's worth asking about as that seems to be something that some sleeve patients really benefit from during the maintenance years.

Yeah exactly what I was thinking! I think binge eating and snacking is one of my biggest downfalls, so I want to tackle that head-on. I am 3 days down without eating crisps and masses of chocolate and sweets! I'll definitely let it stabalise - I imagine although I am 27, I will definitely have loose skin. I have always been a bigger girl. Been at my heaviest weight for a year or two now I think, but I have always had a belly so that's gonna be the area for me! I will say though, with all the moisturising I have been doing, especially on my tummy, it has made me not hate it as much, but just to kind of accept it as part of me. I usually don't look at myself in the mirror, I won't even touch my tummy, so to have to be gentle and care for it in a way has been a bit cathartic. So, if anything, that is helping haha. That is amazing you have been so fortunate with your loose skin, I am so happy for you!

This is a really great place to start. Start making small changes which are much easier to adopt & adapt to. And yes the head work is incredibly important & it is also the hardest thing so starting now is a good idea too. If you do decide to go down the skin removal path, waiting until you’ve stabilised your weight for a few months is a good idea. I haven’t gone that route as I don’t have a lot of loose skin - two finger pinches so not worth the surgery. It doesn’t limit me in any way & like @catwoman7 I can hide it easily under clothes. I even wear body con clothes without shape wear. I was fortunate as I hadn’t carried my highest weight for long & didn’t have as much to lose comparatively. I certainly had my age against me but maybe good genes helped too 😉.

You are not a failure. Below are links to web articles on how even a little weight loss can lead to large benefits : https://www.webmd.com/diet/ss/slideshow-five-percent-weight-loss https://www.businessinsider.com/guides/health/diet-nutrition/benefits-of-losing-weight https://www.nih.gov/news-events/nih-research-matters/benefits-moderate-weight-loss-people-obesity https://www.obesityaction.org/resources/benefits-of-5-10-percent-weight-loss/

So I am 8 months in and down a considerable amount of weight I was at 388 and am now at 267. It’s been a rough road. For several months I could only eat yogurt and drink protein shakes or I would throw up. Well that ended up being from the rapid weight loss causing my gallbladder to act up. I ended up getting my gallbladder out. I would like to say I don’t throw up anymore but that’s not the case. I still struggle with proteins. Poultry is the worst. I also can’t eat low carb high protein wraps or pasta. Before my gallbladder surgery they also checked to see if I needed my esophagus stretched but that was fine. For a long time i regretted the surgery. I’m definitely not at that place anymore but it’s definitely not been easy. I was just wondering if anyone else has the issue with poultry. Best of luck to everyone.

I'm definitely planning tracking. I have a cute notebook and also a planner that I plan on using the weekly planning part to plan out the weeks dinners. I usually do eat protein first and back and forth with the veggies and whatever else I have. I feel like im not chewing well enough or slow enough anymore. I want to get back to doing that too. I would love to get all of the carbs and sugar out of the house, but im not the only one who lives here and I'm told "just because it's there, doesn't mean I need to eat it". The foods that I usually go for are now off the counter tho. So it's "out of sight, out of mind" hopefully. I posted my new stats in a post or two before this, but I had to have my lapband removed in 2013 and I got rny in february 2023. At my lowest weight ever right now. I've lost 111.5 pounds

I dont eat the same foods everyday. Everyday is different. I get sick of foods faster. I've been trying to get foods with higher protein in them, like 15 plus grams of protein like Greek yogurt and cottage cheese. Haven't been drinking much water lately which is really bad. But yeah. I do like to write down what I eat in a day, I don't like logging with an app tho. I have a note book ready that I am gonna start doing tonight or tomorrow. I dont remember if I updated my stats on here or not, but I'm going to be 11 months post rny on the 21st. And I'm down 111.5 pounds. I had lapband in 2009, gallbladder removed in 2010, lapband revision in 2013 and 2 days later, it was removed due to an abscess...they poked a hole in my stomach during the revision. Before ryn I had gained 81.4 pounds in the 9 to 10 years after lapband removal. 2015 I did weight watchers and I tracked everything. It helped a lot