starryskye

I tried every diet in the books. I was shamed for not losing, told that on the calories I consumed and the exercise I was doing, my failure to lose weight was "impossible." Finally, after I had Realize lap band, and did not lose weight, even on 300 calls/day and physical therapy 3x wk plus an hour of supervised aqua therapy per day, my band so full and tight i threw up every day, and I NEVER had anything sweet or rich, my surgeon said something else was wrong. Sent me to a metabolic specialist, and then another, and then another. They all said that the calories in calories out was an old adage known now to be false. Obesity is multi-causal, several chains of metabolic processes in play. I was diagnosed based on metabolic testing and history with a defect of adaptive thermogenesis. I suspect this is the problem with your mom. The good news is that the 10-20% of failed despite compliance bariatric patients has led to increased funding for obesity understanding and research. My metabolic specialist at Cornell says in ten years they will have more answers and a treatment for me, but I don't know if I have that long. Go to a metabolic doctor and be evaluated for this if you KNOW you are compliant, and still are not losing weight. It is bad enough to be fat, but to be shamed for something that isn't your fault, when you are doing everything you can, and nobody believes you, is AWFUL. Good luck.

Thank you so much for responding!!!! Were you compliant (good food choices) with the band and it still failed? Is there anything about the sleeve you do not like?

I am considering revision to sleeve or bypass due to failure to lose weight despite absolute adherence. My band at one point was so tight I threw up liquids. Still no weight loss. Saw a metabolic dr who says I have adaptive thermogenesis and nothing will help me to lose weight and keep it off. My band is empty for past two years, have not gained either. Anyone out there NOT lose with band despite good diet, but did lose with sleeve or bypass? Anyone out there who did not?