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I am now 70 years old. I had a sleeve done in 2014, I have slowly gained all of my weight back! Do you think it would be safe to have it again at my age? I'm thinking about talking to my Dr about it

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Hi, @CherokeeGirl,

I'm 59, so close... I definitely think it's worthwhile to ask a bariatric surgeon about it. Of course, everyone's risk is unique based on your personal health characteristics. But bariatric surgery clients tend to be higher-risk just based on our weight and look how many of us there are! It doesn't hurt to find out what your options are and then whatever decision you make will be informed. Good luck!!

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Also 59 and agree it never hurts to ask. And if a revision isn’t an option (for whatever reason) ask about GLP-1 meds or other options available to you. You never know the answer if you don’t ask the question.

All the best.

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I'm in my 50s so also close. I had a sleeve 3 years ago. I'm not exactly sure what you mean when you talk about having it again - do you mean a revision of some kind?

Second procedures are necessary for many of us, for many reasons. If we can look at *why* we regained, sometimes we can avert regain a second time around. Sometimes not.

If you do go with further surgery (and many of us would if and when we regained I think) it might help before that to go back to the immediate post op rules and stick to those.

I went for a sleeve partly because it left the door open to a revision if I *did* regain. I'm only 3 years out and glad to have that escape hatch (but - more surgery is not enticing!!!!)

I am totally open to GLP-1 /GIP drugs if I do regain a lot. Just different tools. Also open to a revision if necessary - as I said I kind of chose the sleeve on those grounds.

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I'm 60, but I think you may be asking the wrong question? Although safety is a potential concern at any age, this is something only your surgeon can properly determine. I can say plenty of people in their 70's have had bariatric surgery.

I think the real question should be: what are you expecting to be different this time if you have a revision? Would it still be worth it to you if you once again gained all the weight back?

In my opinion, the fact that you've gone back up you your pre-surgery weight means that there are other things going on here that you need to address first. If I had to guess, I'd think there are 2 things you need to address before considering revision surgery, GLP-1 meds, or even fat loss diets:

  1. Your mental health. My personal opinion is that the virtually all obese or formerly obese people suffer from an eating disorder, or at least disordered eating of some sort. If you don't address this first, you're really likely to out eat any revision surgery you may have.
  2. Your activity level. The fact is that most people that are able to successfully lose weight and keep the weight off (surgical or not), are really active. In fact, some studies show that formerly obese people have to be even more active than someone that was never heavy to maintain the same bodyweight. The reasons for that are complex, but if you don't address this, the likelihood of at least regaining a significant amount of weight are pretty high.

Best of luck whatever you decide.

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