Is the second time around ever more successful and why?

[ShoppGirl 4,785]

Okay I had a sleeve 3/9/2021 and lose a pretty good chunk of weight but since I have gained it all back. My doctors have tested me for many things hoping to find answers to why I am so hungry and I am still waiting on a couple more results but it is looking more and more like I just failed. I am meeting with the bariatric doctor again tomorrow to see if they think revision is an option for me (assuming the rest of those tests come back fine as well). My question is, for those of you who revised because of weigh gain, did it work the second time around and if so what changed? What did you do different?!

[TheRevisionedVagabond 53]

Really sorry to hear you're having issues with regain. Hopefully the surgeon gave you some helpful information!

I just had my revision on the 10th of February, so I can't quite say too much on whether or not its more successful the second time around, but I can tell you the expectations that I received from my surgeon! I was told that it is in fact slower the second time around, but this is okay because that means the weight loss should be steady and you're more likely to keep it off. Additionally, he told me that you'll lose about 10-15 percent less than what you lost the first time around. If you're smaller, the weight loss will be slower since you're closer to a healthier BMI than someone who is way over. Another thing that plays a part is the length of the limbs of the bypass (assuming thats what you revise to and not a re-sleeve). I believe that the longer the limbs, the more weight you lose.

As for me, I had the sleeve then revised to the gastric bypass and its a little different, ngl. Instead of feeling full from tightness like I got with my sleeve, I get the hiccups which is funny but annoying as well since they hurt since im so early out. I'm not hungry at. all. Like, its a little concerning. Hahaha! But I did not get this sensation with my sleeve. I was hungry right out of surgery. Recovering was an absolute breeze. Within a few days, I was walking around like nothing happened. So far, the weight loss is moving at the same pace as it was with my sleeve, so I'm happy about that. Since surgery, I've lost 7kg. Surgery day, I started at 116kg (255lbs) and am now at 109 (240).

Hope this info was at least a little helpful!

[ShoppGirl 4,785]

21 minutes ago, TheRevisionedVagabond said:

Really sorry to hear you're having issues with regain. Hopefully the surgeon gave you some helpful information!

I just had my revision on the 10th of February, so I can't quite say too much on whether or not its more successful the second time around, but I can tell you the expectations that I received from my surgeon! I was told that it is in fact slower the second time around, but this is okay because that means the weight loss should be steady and you're more likely to keep it off. Additionally, he told me that you'll lose about 10-15 percent less than what you lost the first time around. If you're smaller, the weight loss will be slower since you're closer to a healthier BMI than someone who is way over. Another thing that plays a part is the length of the limbs of the bypass (assuming thats what you revise to and not a re-sleeve). I believe that the longer the limbs, the more weight you lose.

As for me, I had the sleeve then revised to the gastric bypass and its a little different, ngl. Instead of feeling full from tightness like I got with my sleeve, I get the hiccups which is funny but annoying as well since they hurt since im so early out. I'm not hungry at. all. Like, its a little concerning. Hahaha! But I did not get this sensation with my sleeve. I was hungry right out of surgery. Recovering was an absolute breeze. Within a few days, I was walking around like nothing happened. So far, the weight loss is moving at the same pace as it was with my sleeve, so I'm happy about that. Since surgery, I've lost 7kg. Surgery day, I started at 116kg (255lbs) and am now at 109 (240).

Hope this info was at least a little helpful!

Congratulations on your loss and thanks for sharing your experience this far. I met with the NP yesterday and she said she would really like to see me try weight managements before I commit to revision so she prescribed me phentermine. I know I have tried it in the past but honestly can’t remember how I did on it (seems like it if was an amazing loss I would remember though). I have a feeling I will end up converting as you did. Although I really hope it’s not true about losing less cause I never lost all my weight with the sleeve.

[TheRevisionedVagabond 53]

2 minutes ago, ShoppGirl said:

Congratulations on your loss and thanks for sharing your experience this far. I met with the NP yesterday and she said she would really like to see me try weight managements before I commit to revision so she prescribed me phentermine. I know I have tried it in the past but honestly can’t remember how I did on it (seems like it if was an amazing loss I would remember though). I have a feeling I will end up converting as you did. Although I really hope it’s not true about losing less cause I never lost all my weight with the sleeve.

Yes, I'm the same as you!! I didn't lose all my weight with the sleeve as well and I'm hoping I end up losing just as much, if not more.

I agree that if it was an amazing loss, you'd remember. Haha! But man, I hope it works out for you. If you are in the States, you could also try Ozempic, Wegovy, or Mounjaro or something? Idk. This is what I'm seeing going around the revision fb groups and people are having crazy success. However, I think most regain once they're off of it. Hmmm, yeah.. It does seem like converting might be the better option but I'm no doctor. Everything else just seems like a quick fix, you know? How long does she want you on it?

[ShoppGirl 4,785]

9 minutes ago, TheRevisionedVagabond said:

Yes, I'm the same as you!! I didn't lose all my weight with the sleeve as well and I'm hoping I end up losing just as much, if not more.

I agree that if it was an amazing loss, you'd remember. Haha! But man, I hope it works out for you. If you are in the States, you could also try Ozempic, Wegovy, or Mounjaro or something? Idk. This is what I'm seeing going around the revision fb groups and people are having crazy success. However, I think most regain once they're off of it. Hmmm, yeah.. It does seem like converting might be the better option but I'm no doctor. Everything else just seems like a quick fix, you know? How long does she want you on it?

She didn’t really say how long she wants me to try the phentermine but she does want to see me back in a month. She said there are a couple more meds to try so maybe she was speaking of those you mentioned if this one doesn’t work. I am just a little worried I will lose just enough to disqualify me weight wise for revision and not be able to lose anymore. BUT, I am on a few meds that are pretty important and she said because of that she would like to see me try everything before I decided on revision and that made sense to me. I’m just a little curious why they didn’t have me try all this before the first surgery to be honest other than they know it won’t work. Lol

[TheRevisionedVagabond 53]

1 minute ago, ShoppGirl said:

She didn’t really say how long she wants me to try the phentermine but she does want to see me back in a month. She said there are a couple more meds to try so maybe she was speaking of those you mentioned if this one doesn’t work. I am just a little worried I will lose just enough to disqualify me weight wise for revision and not be able to lose anymore. BUT, I am on a few meds that are pretty important and she said because of that she would like to see me try everything before I decided on revision and that made sense to me. I’m just a little curious why they didn’t have me try all this before the first surgery to be honest other than they know it won’t work. Lol

Trueeee, thats interesting!! I was gonna say that maybe things were different back then, but I see your surgery was 2 years ago so! Yeah, very curious why she didnt recommend this stuff before. 🤔 Really really sorry you're going through this. Hopefully you get some sort of resolution from it all, and the one you're hoping for. 🤗

[ShoppGirl 4,785]

1 minute ago, TheRevisionedVagabond said:

Trueeee, thats interesting!! I was gonna say that maybe things were different back then, but I see your surgery was 2 years ago so! Yeah, very curious why she didnt recommend this stuff before. 🤔 Really really sorry you're going through this. Hopefully you get some sort of resolution from it all, and the one you're hoping for. 🤗

I guess only time will tell. I’m rooting for you too. Keep me posted on your progress.

[Edge13 64]

My only advice with phentermine is to check your pulse throughout the day. Mine ran 115bpm when they had me on that. Saxenda, Ozempic, Victoria, all did nothing for me. Like, absolutely nothing. Luckily the bypass worked wonders, along with the mental part the psychiatrist worked with me about, and the yearly followups with their dietician. I hope you find resolution. 🤞🏾

[ShoppGirl 4,785]

31 minutes ago, Edge13 said:

My only advice with phentermine is to check your pulse throughout the day. Mine ran 115bpm when they had me on that. Saxenda, Ozempic, Victoria, all did nothing for me. Like, absolutely nothing. Luckily the bypass worked wonders, along with the mental part the psychiatrist worked with me about, and the yearly followups with their dietician. I hope you find resolution. 🤞🏾

I must be on a really low dose cause I don’t even feel more energy. It’s 15mg. Haven’t been hungry though. Had to make myself eat something for lunch so maybe it’s gonna work. Not sure about night time. That’s when I tend to snack and I feel like it will wear off by then so we shall see.

[ShoppGirl 4,785]

So I don’t think phentermine is working perfectly for me. It doesn’t give me energy at all. I actually took a nap yesterday on it and I am doubting its power to control cravings. I have to admit I am celebrating a belated bday because my husband was in hospital during mine and I have had two bday lunches where I was able to skip the bread and substitute salad with my Protein so that’s better but I am still hungry at night which is my biggest problem I think. I am supposed to try this for a month and check back in but I see my family dr today who has also been trying to help with my weight so I am hoping maybe she can adjust the dose at least today while I am there. Fingers crossed that one of these meds helps me.