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i think many people on here will tell you any revision surgery results in a much slower rate of weight loss than the first time around.

Good for you! Your nutritionist needs to be working somewhere else. It's sad that everyone thinks it's OK to judge us. I educated a personal trainer at a gym (young guy) who, instead of giving me a personalized workout, gave me a lecture on diet. I told him I knew more about dieting than he ever would because I've read all the books and tried most of the fad diets because I've been dieting for 40 years, and that he should stick to his specialty. The doctor in charge of my nutrition team tried to talk me out of the surgery because I'd lost so much weight already. I told her I'd never had a problem losing weight, my problem is it always comes back and more, I want the metabolic reset so my body would be OK with me weighing less. No one understands the complexity of our metabolic set point. Scientists are studying weight loss surgeries in mice and have discovered all their theories are wrong or only part of the reason these surgeries reset out metabolic set point. No doubt their studies are funded by some pharmaceutical company so they can make a med to replace the surgery. Genetics, premature/low birth rate, health and neutrition issues, our culture and upbringing, stress and depression, habits that our bodies have become to crave... It isn't all about discipline. Compare people's attitudes toward Smokers, alcoholics and drug addicts, who get more understanding and less blame for the habits they can't quit (as long as they don't live on the street, beg, or look/smell bad). Broke people can get free rehab. Where is our free surgeries?

Oh yes, your remaining weight/fat does resettle in the months after you stabilise. Initially I was very straight up & down, no waist at all. I was a little upset because I’d always had an hourglass body shape even when obese & now it was gone. A few months later, with no weight change, I noticed I had a waist again & hips &, while my breasts were empty & saggy, I still had an E cup size so breasts. Sure I don’t have a butt but I had my hour glass shape back again - just much smaller dimensions 😉. Where did you carry your weight? What body shape did you have? I wonder if you are naturally pear shaped so therefore slimmer on the top & you carried more of your weight around your waist, hips, butt & thighs. I’d say your saggy empty skin is being pulled downwards by gravity too. Are you thinking about skin removal when you’ve stabilised? I wouldn’t worry about having 30% body fat. This is a good result. According to the American Journal of Clinical Nutrition, there are healthy body fat percentages based on your age. For people aged 20 to 39, women should aim for 21% to 32% of body fat. For people aged 40 to 59, women should fall between 23% to 33% and men should fall around 11% to 21%. If you’re aged 60 to 79, women should have 24% to 35% body fat and men should have 13% to 24%. (From webmd) Why do you say you’re overweight with a BMI of 25? Love it or hate it, BMI does give us a bit of an idea & it’s how we’re defined by doctors, etc. You’re just on the borderline of healthy & overweight. And if you’ve built muscle you’ll weigh more so you’re really in the healthy range. Personally I wouldn’t define myself by my BMI & certainly not at your weight.

Hi! I was banded with a Realize band in 2008. Went from 235 to 150 and I've been between 150 and 165 for years. I'm now having serious complications with the band. Lots of complications but the worst is an "oozing sore" around 75% of my Esophagus. I've had such great success with the band and I'm nervous about going to a RNY. I really don't want to weigh less than 150. Is a revision just going to put me back into rapid weight loss? Any revision weight loss/gain stories are greatly appreciated. I need someone to hold my hand!

Congratulations! What a great feeling! I celebrated by asking my husband his weight. He wasn't allowed to tell me previously because I didn't want to KNOW I weighed more than him.

I am so glad they recommended you for revision!! It is sad that a lot of insurance companies have a "one bariatric surgery per lifetime" clause, or will cover revisions but make it near impossible to qualify for them. The sleeve surgery is the first stage in a classic DS surgery, it should always be up for revision to a DS/SADI if the results from it aren't lasting! I had a modified traditional DS done on November 1st. I'm so happy I did it. My diabetes and high blood pressure went into immediate remission. My weight loss has been slower than I'd like, but that isn't unusual for a DS because we lose for a lot longer than other surgeries (if we are lucky!). Your sidebar says you are pre-op, you should adjust it so it shows you post-op! How are you feeling?? I've heard the recovery from revision from sleeve to SIPS is not too bad since they don't normally touch your sleeve again unless it was improperly done the first time. Do they still have you on a strict post-op diet progression? I look forward to seeing how your weight loss goes, revision patients to this surgery usually do well! It just goes a little slower than before. ❤️

Hello, I am new and want to introduce myself. I’m Gina and I am 13 days post op. I had the SIPS procedure and hiatal hernia repair. I had Gastric Sleeve in 2019. Reached a plateau, switched from Kaiser to United Health Care - Sutter Health (N. Ca). Five years ago my pre surgery weight was 286. My pre-op weight on January 10 is was 230. When I was still under Kaiser, I contacted my bariatric team about having revision surgery and they advised me to just stick to a thousand calorie diet and that I was not eligible for revision surgery. My family and I had to switch healthcare providers and I joined the weight management in nutrition program at Sutter Health, and I was immediately referred to a Bariatric surgeon who recommended a revision! I was pleasantly surprised, because I was not even going to ask because of my experience with Kaiser. So here I am 13 days post surgery and looking forward to reading about your experiences. 🙂👍🏼

I agree with this. At your starting weight you should have been offered a Duodenal Switch or a SADI procedure. If you weren't, I'm assuming it is because your surgeon can't perform those surgeries, so just offered you the sleeve? If you were offered these options, why did you opt for just the sleeve? My highest weight was 320. Two surgeons agreed I should have a traditional duodenal switch. I did the research and agreed with them, though originally I just wanted the sleeve. I was terrified of the switch portion of the surgery, especially because I've had ulcerations of the small intestines due to my autoimmune disease. So my surgeon called and consulted with my GI doctor and together they decided the DS was the best option for me and worth the risk because of how many benefits it would offer me. So I decided to accept my fear and go with the DS anyway. I'm so thankful I did and that it was an option offered to me. It has changed my life in so many ways for the better... The sleeve is the first part of a duodenal switch, that's where the sleeve operation actually came from. The intestinal part can be added at any stage by a surgeon qualified to do it, but only a small percentage of surgeons can perform it, as it can be rather complex. We see revisions from sleeve to DS all the time in my support group.

Weight loss distribution is a funny thing. I have been tracking my measurements and it is odd to see where it is coming off, even this early on. I've lost an inch from my wrists at the 2 month mark. Why? How? I have no clue. Or I've lost nearly 9 inches from my waist just shy of the 3 month mark, but my protruding belly area, where I expected the weight to come off first, isn't budging. I've been told by a number of vets that it takes a year or two after you've dropped most of your weight for your body to get a clue and redistribute the fat you have left. So this means at times when you are dropping the weight you may look skeletal in some areas that you used to have padding in when you were that weight before. But try not to worry too much about it, usually within a year or two it rebalances as it redistributes. I'm sure that doesn't apply to everywhere, but it applies to most places... Also, most surgeries have a rebound once you reach your set point and stop losing. This is often in the 15-20 lb range. So conventional wisdom from the vets is to ride your weight loss down as low as it will go (unless you end up officially underweight by BMI), as you will rebound and then complain about that extra 20 lbs that came back. LOL

Your surgeon is a bit off in his ratios. Weight loss rate is different for each surgery and for each person. I think the 3 month mark for most surgeries is closer to 30% though, not 50%. I've never heard that for 3 months, only for 6 months. Have you run your stats through this calculator? https://www.facs.org/quality-programs/accreditation-and-verification/metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program/riskbenefit-calculator/ That is the calculator many bariatric surgeons use to calculate their patient's trajectories. I feel like I'm behind because at about 3 months out I'm only down 40 lbs or so since surgery, but 53 lbs since my highest weight. So I used that calculator, starting with my highest weight, since that is what the surgeon would have used. Turns out I am right on the mark, as their PA told me a few weeks ago! Everyone around me is losing faster, but that doesn't matter. For my body and my health conditions I am apparently right on track. I found that really reassuring. Keep in mind that site only tells you what it expects you to lose in the first year. I thought malabsorbative surgeries like the DS or Bypass can keep losing up until the 18 month mark, though it is much slower loss at that point? I know DS patients can even lose up to the 2 year mark, though again, it is much slower. You usually lose the last 20%-25% much slower because the body is closer to its set point. I had a 6 week stall that started when I added solid food in. I kept gaining and losing the same few lbs. But someone told me to check my measurements, since usually when the scale stalls, our measurements go down. Sure enough, I was losing inches!! So I REALLY advocate people measure once a month and record it, the Baritastic app can even track it for you. It is really reassuring to see those inches lost when the scale has been acting like a d**k for weeks. LOL How are you doing now??

I highly recommend checking out A Bra That Fits calculator. I was recently pointed in this direction as I'm having bra fit issues as I'm losing weight. Band size I've always been spot on, but cups are always too small. Turns out I was wearing a bra 6 sizes too small in the cup!!! YES 6 SIZES TOO SMALL And I'm not the only woman that does that... I'm apparently a 44H right now, not a 44D/DD. Go figure. I went to the reddit for that website and the FB group, learned a lot about my breast shape, and ordered 6 bras through the "Amazon Prime Try Before You Buy" thing. 4 of them were too big and awful looking, apparently the calculator can overestimate cup size for my breast shape. I could see that the bra shapes would be horribly wrong if the cups fit correctly, it seems my breasts sit high and I have breast tissue under my arms that migrated there from wearing too small bras for 25 years...plus I have breast tissue way up high to almost my collar bones... I did eventually find one that fit amazingly! The women in the FB group advised me to go down one band size smaller and up one cup size (maintains the same cup volume) and to use an extender on it so I'll get 2 months out of my bras, as I'm currently dropping a band size a month, but my cup size isn't changing. I thought that was a great tip for making my bras last longer, since they are so damned expensive. In this properly fitting bra my shoulders don't hurt because there is no pressure on them! The band is actually carrying the weight of my breasts, like it is supposed to. And the wires are wide enough they aren't sitting on the breast tissue under my arms that I had just assumed was fat! As for other clothes, I've found the best way to stock smaller sizes is Ebay and Poshmark. I search for lots/bundles a few sizes smaller than I currently am. These are often listed by people losing weight and changing sizes, who want to clear out their closets fast instead of list item by item. I plan on selling my clothes this way too as I outgrow them! I recently got a bundle of 5 leggings in an XXL from really quality brands. Almost brand new. Since they are different brands they'll fit differently and probably last me a few sizes... I also found a tank top lot listed that way, and since I'm a leggings/tank/cardigan woman, these should last me a while. I have also picked up a few aspirational things on deep discount in a Large, so I can have some pretty things at that size for cheap, even if I don't end up staying at that size. I can't even fathom I could be that size by the end of this year! Anyway, this is how I'm saving money clothes shopping online!

Yeah, the dietician was a prick to mention your weight in relation to other patients. You were not unusually heavy and it is just plain unprofessional. I hope you have a word with the surgeon about it at some point, people need feedback on how their staff are carrying out their jobs. I'm sorry it is so hard to obtain this surgery in the UK, you should have been given ample support and encouragement on your journey, not criticism. As was said above, you may need the support of a dietician post op and going to one who was condescending to you pre-op is not a recipe for success post-op. You may want to seek out your own dietician for support. One you can feel free to fire at will. LOL I find dieticians assume by default we are all idiots about food, especially healthy food. And they tend to fixate on weird things, like pasta alternatives that are "just like the real thing!" that they have probably never eaten themselves. Or cottage cheese!! OMG I do not want to eat a bowl full of cottage cheese!! I think they should have to go through a 3 month staged bariatric diet, including an all liquids portion, so they have some lived experience and can be a little more human with their patients... Although I will say I've actually run into a few dieticians that have had bariatric surgery and while they don't say the stupid weight things anymore, they do still have a lot of biases from their training (like no protein supplements because they aren't "real food"). Your weight story is not unusual, as others have said there is more and more research pointing to obesity being a very complex disease and far from a moral failing or issue of willpower. There are a lot of stigmas around weight and weight loss surgery and unfortunately the medical community is a willing participant in much of that misinformation. I'd advise you to find a therapist or a mindful eating coach who can support you in changing your food choices early on, so by the time your hunger comes back your new habits are firmly in place and something you can rely on. I wish you so much luck on your journey!! You are doing great!

OMG I'm so excited for you I teared up when I read your post!! I know how hard it has been and you've been so upbeat about it! I wonder if you were gaining muscle or maybe burning a bit too many calories with the exercise and now that you've slowed down on that your body feels it can let go of some of the weight?? My best friend loses more weight in the winter for some reason. Doesn't matter what she does, it seems to consistently come off better in the winter. Our bodies can be so mysterious sometimes... Whatever the reason is, I'm so happy the scale moved a bit towards your goal!! And I'm really glad you stayed consistent all summer, they say that's the best way to break a stall, even though it is so hard to keep the faith. I bet your body composition has changed a lot over the last 8 months even if the scale wasn't moving for a chunk of that time. Your experience is so encouraging because it shows that sometimes the scale can move months after you've thought it was done for good! You aren't the first person I've seen have a stall that has lasted for months instead of weeks...

I think the people that lose so much weight after 6 mos are people who started at a much higher weight than both you and I. The heavier one is going into the procedure, the more they lose more quickly. I do know that if a person does not enough they will put themselves into a stall so i dont think those people are starving themselves, i think they are just bigger to begin with. I am only a couple months ahead of you (my surgery was 4/12/23) but my weight loss has considerably slowed and i havent even hit one year yet. I do eat more normal foods now as opposed to "diet food" but i do still limit my carbs and fat and sugar. Regardless, in the last 3 months ive only lost 10 lbs. Kind of annoying but i also could do better on my diet so that is partially my fault. How is your sleep? I also notice that when i get more sleep i seem to drop weight quicker. Im not the best at going to bed early enough though.

I don't have MS, but I do have several autoimmune diseases along with Fibro and Chronic Fatigue Syndrome. I am almost 3 months out from a traditional duodenal switch. I have found my energy level and ability to exercise has increased a lot, I no longer get post exertional malaise. I also have less pain because the surgery causes your inflammation levels to decrease and as you lose weight, those levels will continue to go down. Since I am so early out, I have not had any nutritional issues. However, my surgeon did advise I go with a longer common channel than the standard 100cm cookie cutter length that most doctors go with, because I have a history of nutritional deficiencies. I went with 175cm. I'm really glad I had the DS, I'd do it again every year if I had to just for the fact it put my diabetes and high blood pressure into remission immediately after surgery!! Plus I have more energy than I've had in 2 decades. There is a different forum that has more DS patients on it, you might try posting there. It is www.bariatricfacts.org I'm not sure if anyone there has MS, but they are great with recommendations. There's also a support group for DS patients on FB called "Duodenal Switch SUPPORT Group" and there are a TON of DS patients there, you might try posting and seeing if any have experience with the switch and MS. As for surgeons, I had my surgery done with Dr. Pilati at WakeMed Bariatrics in Cary, NC which is right outside of Raleigh. We have a number of excellent DS surgeons in this area because of our world class healthcare centers. I don't know of any in the DE area but the women at bariatricfacts might, a lot of them are vets of the surgery for 10+ years!

I'm another 40 pounds down or so and it's... bad. I don't have to stretch or flex, you can just count my ribs all the way down, except for where there's a fold of loose skin (I think these are technically called breasts?). This isn't "I'm so used to my obese self I don't understand what healthy is" type skinny, this is "I can play the xylophone if I wear a low-cut shirt", tabloid speculation about drugs and anorexia type skinny. On some level, I'm stoked, my ED self is absolutely thrilled to be able to see every bone, but I just don't understand how I can have so much hanging fat on my lower body and look like a skeleton on top. I do have a small frame by wrist size, but my rib cage apparently did not get that memo. Because, again, I'm still overweight. My bodyfat percentage was assessed at over 30 a few weeks ago. Where the #%@! is it? My weight loss also hasn't plateaued, or even significantly slowed. I'm still losing around 1.5-2% of my bodyweight per week. I am absolutely not following the diet plan given to me, eating much larger portions of much more calorie dense food but I continue to diminish. On one level I'm thrilled, but on another I'm worried this won't stop and I'm going to have to wear turtlenecks to stop birds from nesting inside my torso.

Hi, I had my lap band put in 2007 and I’m getting it taken out on February 6th along with bypass surgery. I never really lost weight with the band, always stating around my original 220 range. This past year I put on over 30 pounds, I’m sure because of inactivity ( the heat living in South Florida last summer) and new pain medicine, Gabapentin. I don’t have any advice, but I do wish you well and best of luck.

I am am at the same point and I am still struggling to get to 600 calories a day. I hit a massive stall and did not lose any weight for 3 weeks. Scale finally moved this week. Stalls happen your body needs a chance to recover. Stick with your doctors plan and the stall will pass.

I was considered obese because i couldnt exercise with the pain i was dealing with for 13 yrs, including regurgitating and vomiting if i jumped around. My food intake is ok it was just a question i asked to GERD patients. If doctors would have repaired my hiatial hernia when i asked them to find out why i was in so much pain i wouldn't have needed WLS. I am not worried about losing weight at all, I eat what i can as a GERD patient and exercise 4-5x a week. My belly is my only issue but i'm also going through perimenpause for the past 5 yrs. I am happy i can eat again and do things that i couldnt do because of the pain. I never had diabetes, high blood pressure only high cholesterol only because of my perimenopause, but i kept that down without medication because i've already been on meds for 14 yrs due to my GERD. I dont compare myself to others but i can't understand how people say they lost so much weight after 6 months sounds like starvation to me. my doctor or nutrionist have no issues with my food or exercise; i was just asking if it was true for GERD patients to lose weight more slowly than normal obese patients.

Honestly i never wanted this surgery WLS, i refused it fighting with the doctors the whole year. But when i learned it was actually meant for GERD patients to help us eliviate the reflux and saving our throat is when i said Yes i'll have the surgery. Doctors noticed the weight loss for GERD patients then it became the number 1 surgery for obesity. Perimenopause has a huge hand in our weight gain belly and reflux triggering more. Our hormones are off the track so I do take BHRT (BioIdentical Hormone Therapy) to help with a lot of my symptoms. Overall i really cant tell if my reflux is worse or not it's there regardless and i cant get off my meds.

I had my lap band removed in November of 2023. It was the best thing that ever did. Getting a lapband was the stupidest thing I've ever done in my life in the biggest waste of money. It was a complete rip-off. They give you nothing but false hope. I paid for it on my own. I basically just threw $10000 away. I never lost weight. What did happen was a bunch of complications and side effects. Reflux excessive gas. Severe pain in my chest and shoulder blade area. Vomiting food up of course. I wouldn't recommend getting a lap band to my worst enemy. 2 months after getting it out. I still have excessive gas. On a good note, most of the other things that I mentioned have subsided. I can't wait for the lawsuits to start being filed. I will be right there with them. My money should be returned to me because it never worked. Like the old saying, goes. If it sounds too good to be true. It probably is.

Thank you for understanding as a GERD patient. My doctors never wanted to fully check what pain i was going through all these years and it had me pissed off. I wanted bypass, but yes what you said the dr felt by repairing my hernia it would subside. I feel since i've been on these meds for so long my body and stomach got use to it. Eventually I will get the bypass cause i'm still on meds and I still watch what i eat as a GERD patient.......no grease, hot or spicy foods. I do cardio, running and weight training and mix it up. My belly is the hardest to lose. Once again thank you for understanding me as others really dont understand what we go through its not weight that causes us pain, and we gained weight because we couldnt exercise due to the pain.

I hope your gerd issue subsides or they can get it under control. I don't think that is hindering your weight loss. Are you eating too many carbs? Do you track what you eat? Also, now here is the blunt truth..... you are considered obese if you were 5'3 and 210lbs. I'm not being mean, because i myself was considered morbidly obese and would never shame anyone on their weight but a fact is a fact and at that weight and height for a female that would be considered obese. I would try talking to your nutritionist if you are worried about losing weight slowly but do keep in mind we all lose at different rates, stall at different times etc. As Arabesque said, don't compare yourself to others weight loss journey because we are all different and you will drive yourself crazy! Best thing to do is talk to your dietician.

Perhaps, but, I'm getting the amount of calories; 800, protein; 80, Carbs; 50 my surgeon/dietician put me on. That being said, I thought the same thing, but, I'm hesitant to go against doctors orders or diet plan. I have an appointment February 21, so maybe at 6 months they'll up my caloric intake. 🙏 I posted this concern of mine because I thought surely my clinic knows what works and yet my weight slowed way down. Anyone at 800 calories 5-6 month out too? I thought this was the norm at this stage...