drmeow

I am about 5 years post-op and definitely regret it as well for mostly the same reasons as SleevedK above. Yes, I lost quite easily at first but that only lasted the first year. After that I could not lose anymore no matter what I tried. The worst thing? I am ALWAYS hungry. Before I had VSG, I had done low carb/keto for quite awhile and lost well and had a lot of energy. Part of that is eating plenty of fat which keeps you full. Unfortunately, after VSG I could not eat much fat. Protein first of course, but if I had too much fat I'd get sick. I also LOVE vegetables and can no longer eat much of them. I fill up quickly at a meal but am starving an hour later.
I was told that at least in the first 6 months or so, hunger would never be a problem b/c the part of your stomach they remove is where the hunger hormones are secreted and that eventually that would come back. I was hungry from day one and it never changed.
The biggest disappointment to me was that I did want the bypass. I went in for surgery and woke up to find I had nothing done. Doctor tried but could not pull my intestine far enough forward to attach it without stressing the incision. I went on a liquid diet for a month and lost 22 more lbs, tried again with the agreement that if it still wouldn't fit, he could go ahead and do VSG and that's what I woke up with. My surgeon has a very good reputation and I trust him. My body has always done weird things. Not sure if it's just all the fat in the omentum around the intestines that was the cause or adhesions from my previous gallbladder surgery, although he did say he broke down some of those.
By 3 yrs post-op I'd not only not lost anymore but started regaining. The regain is totally MY fault, not the surgery, but I was so tired of fighting to lose with no results that I began eating junk food again and it crept up. All told, I lost 85 lbs and regained 28, and have been sort of stuck there. I'm now revisiting trying to do low carb since it works for me once I get past the initial cravings, etc.
I had some GERD prior to surgery but it went away with the weight loss, only to return with a vengeance after i began to regain. It is MUCH worse than it ever was prior to surgery. I have not had an endoscopy to see if there is a hiatal hernia or anything yet; it's on my list to get checked out soon.

Hello Friends!
I had a lap band done years ago and have a ticker here showing that and my status as lap band patient.
I now have had the revision from lap band to bypass and would like to add a new ticker and change my patient status.
Can anyone give me the directions on how to change all this? I can't find it anywhere and don't remember how I did it 14 years ago!
If anyone from Bariatric Pal sees this, please include an instructional section to the website. Thanks!

Omg me too! The not being able to wipe literally sent me on a tailspin! My husband had to do it for me and I lost it. Every time I want to give up I remember how helpless and ashamed I felt!

You bet! At 7 years post op, it’s definitely harder. I’m up 35 pounds from my goal weight I maintained for quite a few years. But life happened, and I went back to old habits. As time goes on after surgery, the easier it is to overeat.

I’m happy to say I’m back on track again! And let me tell you, eating less and eating protein and lots of fiber has really brought my sleeve restriction back! I’m down 5 pounds and am already feeling physically better.

Guys, don’t ignore weight gain after maintenance. You’ll have some “bounce” weight where your body wants to be, and that’s completely normal. But any gain after that take seriously. I was doing the “It’s only 10 pounds” It’s only 15 pounds” until 35 pounds, and then was like “What the hell happened??”

I don’t want to get tiny again like the pic on the left at my lowest. I was comfortable at 160, and that’s realistically what I’m shooting for. I can do this! And YOU can, too!

Oh, pic on the right is me currently.

Planning your eating is an essential skill to have foods you need to be healthy after surgery. But let’s face, some days will fall apart. Unexpected situations come up and you will need an emergency stash of protein foods.


Non-perishable protein foods are ideal to stock up at work, home, in your purse or backpack or in your car. Keep a clean shaker cup and single serve size of protein powder handy. All you need is water to mix. Keeping a ready to drink protein shake handy can be an easier alternative. All you need is to open and sip or find a cup of ice to pour the drink into.
Small cans of tuna or chicken can be open and eaten right out of the can. There are also tuna and chicken salad kits that you can keep stocked at home or work. Softer meat sticks or meat jerky can be stashed in a desk drawer or locker at work. Brands include Ostrim (available at Owasso Nutrition Plus by Fit for her in Owasso or online) and Kratos High Protein Beef Bars (currently at Reasors).
For meat sticks, find ones that have four grams of fat or less and at least seven grams of protein per ounce. High protein Quest chips make for a crunchy snack that can be stashed. These are currently available at GNC stores. Nuts deliver protein and healthy fat. Make sure you measure out the nuts, because that healthy fat leads to higher calories. One ounce of nuts is about ¼ cup. Measure this into snack size baggies or find the 100-calorie packs of nuts. Eating out of the container can lead to overeating.
Protein bars are also great ways to get in some protein. Look for protein bars with more protein than carbohydrate like Pure Protein or Premier Protein. If you are driving about town, you can get protein bars and protein drinks at convenience stores like Quik Trip and Kum & Go. You can also stop at a grocery store and buy string cheese, light yogurt or an Oscar Meyer P3 snack pack. Keep a stash of plastic spoons in your car for eating yogurt. Time to stock up on emergency proteins!

I'm in no way trying to be insensitive, I actually do some work as a drug/alcohol counselor so I realize what a major issue addiction is and the very real possibility of transfer addiction, however reading your first few posts, drugs were not mentioned and you scared a whole lot of people who were led to believe that ALL of your health issues and personal problems and even demise of physical appearance was 100% due to your weight loss surgery. Now sure, you can say I had weight loss surgery and became a drug addict and that in itself is a tragedy that many will empathize with, however had you not started using, would your bypass had led to the same results ? I for one think it's important to clarify and report the whole story when discussing such serious life threatening complications. Regardless, I'm glad you are doing so much better.

The weight loss surgery journey is easier for some than for others. That’s true not only mentally, but physically as well. Some patients are confident as they get the surgery, follow their prescribed diets, and lose weight until they approach their goal weights.
But most have doubts at some point. Those doubts can be strong especially in the first few weeks after surgery.


I see this lack of confidence time and time again in the forums. Weeks or a month after surgery, gastric sleeve, gastric bypass, lap-band, and other Weight Loss Surgery (WLS) patients start to wonder whether Weight Loss Surgery was the right choice. Most often, they are disappointing in the number of pounds they have lost, and they wonder, “Am I going to be the Weight Loss Surgery patient who fails?”
I can say this with confidence: If you follow the Weight Loss Surgery diet, you’ll lose weight.
“I’m Not Losing Weight Fast Enough!”
That’s a common post on BariatricPal. The poster is usually a week or a few weeks post-op, and worries their weight loss isn’t fast enough. They think their “slow” rate of weight loss means Weight Loss Surgery didn’t “work” for them. They think they will never be able to lose significant amounts of weight, since WLS was a last-ditch effort to lose weight and get healthy after years of dieting didn’t work.
But in most cases, these fears just aren’t true. Don’t misunderstand me. I’m not saying these fears are unreasonable. I understand them perfectly. I, and probably every Weight Loss Surgery patient, wondered whether it would work for me. And the answer for me, and for everyone who followed their Weight Loss Surgery diet, was “YES!”
The Perfect Storm for Frustration
So why the panic? I like to think of the first few weeks or even months after weight loss surgery as a perfect storm for generating doubts. It’s a time when the following are true.
You realize you have made a decision that led to a change to your body that is irreversible (in the case of sleeve gastrectomy) or meant to be permanent (in the case of the gastric bypass), or
You realize a lifetime commitment to changing your eating habits and lifestyle is a pretty big deal.
You have not eaten solid foods for weeks, or even more if you had a liquid diet for long before surgery, and it’s getting you down.
You are struggling in your daily life as you try to make time for exercise or you find your family members continue to eat junk food in front of you.

All that is enough to get anyone down before you even start thinking about the reason you got the surgery in the first place – to lose weight! If you doubt you’re losing weight “fast enough”, you might start wondering if you made the wrong decision when you got Weight Loss Surgery – and that’s a depressing thought.
Crunching the Numbers
Almost without fail, the BariatricPal member who posts about disappointing early weight loss is losing weight quite quickly. The only person who is disappointed in this number, typically, is the member him or herself. I’ve seen members post with concerns about losing “only” 20 pounds in the first month, or “only” 10 pounds in the first week. Guess what. That’s great!
Think about it. A general round number for great first-year weight loss after Weight Loss Surgery is 100 pounds. That’s an average of 2 pounds a week, or 8 pounds a month. If you lost 20 lbs in your first month, you’re doing fantastic! To hit 100 pounds in your first year, you won’t even lose a pound every three days! So don’t worry if the scale doesn’t plummet every single day. If you’re eating right, you’ll lose weight.
Try to keep yourself motivated by keeping it all in perspective. Another motivating thought is to consider how long it took you to gain the extra weight. 5 years? 10 years? Your whole life? And now you have a chance to lose it within 1 or 2 or 5 years? That’s a pretty good bargain, right?
Recovery Now for Weight Loss Later
Now, I know you’ve prepared for Weight Loss Surgery for a long time, and you’re eager to lose weight. But really, you’re not quite ready to focus on weight loss if you’re still recovering from surgery. It’s far more important to heal properly. That’ll help you lose weight faster later and avoid complications that’ll set you back, not to mention cause possibly serious health problems.
So, no matter how frustrated you are, stay positive, and focus on following your surgeon and nutritionist’s instructions to the letter. Continue to eat a liquid diet and then pureed foods without cheating and sneaking in solid foods. Use this time to establish a pattern for your long-term success. Learn to measure your food, and to set aside time for food prep and for exercise.
Weight loss surgery is a lifetime adventure, and that realization can really hit hard in the early days and weeks post-op. You can get through this tough period by focusing on one day at a time and not worrying about your rate of weight loss. Measure your success not by the scale number, but by how well you stick to your plan.

That last question is the most significant one as far as I'm concerned. There are a million ways to lose weight and most of the people who resort to WLS or Biggest Loser-style extreme dieting have lost weight before. They've probably even lost *significant* amounts of weight before. I know I've seen MANY Biggest Loser contestants mention they had lost 100+ pounds in the past and regained it. So for me, the true test here is whether Biggest Loser contestants keep off more weight long term than WLS patients. That is the ONLY number that matters. How much weight you lose and how fast you lose it is completely irrelevant if it's only temporary. If a patient/contestant weighs 400 pounds now and will weigh 400 pounds again two years from now, how does it matter at all what happened in between? They are no better off than where they started. Potentially they are worse off, because it's clear that repeated weight loss and regain is more taxing on the body than just staying a consistent weight. Plus, if they did a Biggest Loser-style plan, they potentially would have bad knees or other orthopedic injuries.

In 2001, Yvonne McCarthy from Dallas, Texas, decided to get healthy. She hit the ground running and never looked back as she committed to weight loss surgery and learned to manage her food addiction. Her Open Roux-en-Y gastric bypass surgery 13 years ago helped Yvonne lose half of her body weight and keep it off for over a decade.


Yvonne has used her weight loss surgery experience to help others. She spends over 80 hours a week advocating for bariatric surgery patients as “Bariatric Girl.” She answers emails and posts on Facebook and from her blog to advocate for weight loss surgery and support people who are fighting obesity just like she did. That’s like working two full-time jobs – for free!
Being a great role model and giving back to the weight loss surgery community are what make Yvonne a true weight loss surgery hero. Don’t miss seeing Yvonne’s website or Bariatric Girl Facebook page, You Tube Channel and follow @BariatricGirl on Twitter! She’ll share her experience on bariatric surgery, and you’ll get to learn more about this talented woman’s photography and music!
First, read Yvonne McCarthy’s story and our interview with her here.
Finding Out How Heavy People Get Treated
Yvonne was a strong and athletic girl. That worked out well when it came time to pick teams at school, but her athletic abilities weren’t needed or appreciated elsewhere. Instead, she quickly learned that bigger girls aren’t welcomed. She says, “I figured out pretty young how being different made people treat you badly.” Puberty hit hard, and the dieting started in fourth grade.
Yvonne’s struggles got worse through college and beyond. She nearly turned anorexic during her college years, but “couldn’t keep it up.” After college, she “did every diet known to man” and each time, she gained back all the weight she’d lost plus a few pounds. Her highest recorded weight was 260 pounds.
Didn’t Listen When They Said Not to Have “Unrealistic Expectations”
Yvonne got gastric bypass in 2001. At that time, the bypass was only offered as an open surgery, not as a laparoscopic procedure. She went into surgery with the intention of hitting a “normal” body weight (BMI under 25), and didn’t listen when surgeons warned her not to have “unrealistic expectations.” She followed the prescribed diet and lost 130 pounds in the first 13 months! Yvonne now weighs exactly what she weighed in college over 40 years ago.
Never Going Back to “Prison”
Yvonne says she has a “really healthy memory of 30 years of obesity” and refuses “to return to that prison [that she] couldn’t break out from.” Post-op care wasn’t a standard part of care in 2001, and she didn’t see another post-op until three years later! She just stuck to the diet because she thought she had to, and she hasn’t strayed more than five pounds from her goal weight!
“I assumed that you lost the weight and “IF” you regained that you should fix it while it’s small. When I attended my first weight loss surgery event everyone asked me how I kept it off. I literally didn’t know any better.”
By that time, she’d developed the good habits that she maintains today.
Learning to Manage an Addiction to Food
Some people eat to fill a void. Some eat out of boredom. Others eat for comfort, or to manage stress. Yvonne discovered that she ate to cope with feelings she didn’t want to have. She had a food addiction. She says,
“I was fortunate that I chose to work on my head just as much. I am passionate about the acknowledgement of the existence of food addiction and when I admitted I was an addict, I was able to take steps to work on the root problems that fueled my addiction.
I don’t know how many years ago I started doing this but today I eat very boring things and practically the same food every day. I can no longer have “sex in a plate” so my food has to be just like the fuel you put in your car.”
No More Junk Food
The days of eating junk food are over for Yvonne. She’s not comfortable eating it for fear that she’ll fuel her addiction and regain the weight. “
I can’t eat just one so I quit craving sugar and junk food because I quit eating it completely. I haven’t had cake, pie, cookies, candy etc. in 13 years and I don’t even remember what it tastes like. I feel very strongly that if you wish to lose a craving that you need to quit eating it.
“You wouldn’t give an alcoholic a sip of beer to get past the craving….why do we think that works with food? There are some people that can eat that stuff and maintain and I’m happy for them but I don’t know very many that can.”
The Need to Support Others
Yvonne didn’t just go against the grain by setting, achieving, and maintaining a goal of 130 pounds. She also didn’t know that the “only” way to lose weight and keep it off is to have a strong support system. So, she managed to succeed without the standard support system only because there were none and she was forced to figure out her “head” on her own.
Yvonne turned to the Obesity Help forums and her profile there transitioned into her blog. Over the years, she “saw the exact same patterns over and over and I felt a passion to help warn others of what was coming down the road.”
A Life Dedicated to Helping Others
She felt obligated to help others because her own “unique situation of not seeing another post-op for 3 years in the beginning saved me because if I had seen even one other person regain I would have thought, ‘I’m nobody special and if they can’t keep it off, I can’t either.’”
Bariatric Girl to the Rescue!
Yvonne has done the majority of her advocacy as “Bariatric Girl.” She maintains a website and blog, You Tube channel, and stays active on her Bariatric Girl Facebook page and Twitter. She answers emails and Facebook messages, and even takes phone calls to help others with their struggles and questions. Yvonne now spends over 80 hours a week as a volunteer with the goal of supporting others who are considering weight loss surgery or who are already weight loss surgery patients.
“Since the sun and the moon and the stars lined up for me I felt like I didn’t have the right to not help others by sharing the experiences of the thousands of people I’ve communicated with over the years.”
In addition, Yvonne has spoken at many events and volunteered for many organizations by taking photographs and videos at events. Her other advocacy work includes:
Former faculty with the Weight Loss Surgery Channel.
Host of the channel’s Weight Loss Surgery Journeys, a program that included interviews with recent bariatric surgery patients.
Member of Apollo Endosurgery Patient Executive Council.
Three-year service on the Board of Directors of Weight Loss Surgery Foundation of America, which advocates for bariatric surgery patients and provides grants to deserving patients who can’t afford weight loss surgery on their own.

Every weight loss surgery patient and candidate wants to hear success stories. These stories are sources of hope because they’re about people who used to feel hopeless and out of control, but who found weight loss surgery as a solution. Yvonne was able to use the gastric bypass surgery as a tool to learn to manage her food addiction and turn over a new leaf.
Yvonne is more than just a story, though. She gives her knowledge, love, and support to others who are struggling with their weight and who are weight loss surgery patients. It’s rare to find someone as giving and dedicated as Yvonne is, and everyone whose lives she has touched is grateful.

A lot of weight loss surgery patients struggle with weight for their entire lives before deciding to get surgery. The same is true for Michele Elbertson. The difference is that Michele was only 23 when she hit 427 pounds and got her wake-up call. She got the lap-band, changed her lifestyle, and dropped 260 pounds. She’s run 6 marathons in the past two and a half years, and is training for her first Ironman triathlon this spring.


Bigger from Birth…And Then College Hit
Michele was always big. She was at the top of her height and weight charts from the time she was an infant. She remembers times in her childhood when she couldn’t or wouldn’t participate because she was so big. She didn’t like physical education or sports, and the other children teased her.
Food was a comfort. Michele describes the situation as a vicious cycle. The more kids teased her, the worse she felt. The worse she felt, the more she ate. The more she ate, the more she weighed. The more she weighed, the more she got teased.
College was a disaster in terms of her weight. Forget about the freshman 15. What about the freshman 40? And the sophomore 40? Add to that the junior 40, the senior 40, and, for good measure, the super-senior (fifth-year) 67, and you now know how Michele Elbertson got to be 427 pounds at the age of 22 years.
A Young Weight Loss Surgery Patient with New Relationships
Michele made the decision to get the lap-band on her own. She needed a tool to help her control how much she ate, but understood that it was up to her to control what she ate. She only told her parents about her decision after she was sure about it. They were supportive, and have been since then.
Michele has taken full advantage of and responsibility for the band. She has lost 260 pounds – 260 pounds! – in less than four years. As she says, she’s a determined person who will accomplish anything she sets her mind to.
Michele began to “eat to live” rather than “live to eat.” As her relationships with food and exercise changed, so did her relationships with some friends. She lost some friends whose relationships centered only on food. She gained many more, though, through her new activities. She says the friends she’s gained through running and fitness far outweigh those she lost by changing her lifestyle.
An Athlete Is Born
Michele ran her first 5k after losing 100 pounds – when she was still 327 pounds. She was hooked. She loved the training, the atmosphere of the race, and the accomplishment. She has never looked back. Since then, she has run countless other races, including 38 half-marathons, 6 marathons, and a 50-miler ultra-marathon. She has also competed in triathlons.
Now at an athletic 159 pounds, Michele has her sights on even greater challenges. In the near future, she wants to run a 100-miler and complete an Ironman. Both are feats that most people wouldn’t even dream of.
Marathons, Ultras, and Ironmans
Now, not everyone’s a distance runner or triathlete, so to understand Michele’s accomplishments, here are a few facts about these endurance sports.
A marathon is 26.2 miles. All marathons are 26.2 miles.
An ultra-marathon is anything over 26.2 miles. Michele’s recently completed ultra-marathon was 50 miles, and she is training for a 100-miler.
A triathlon includes swimming, biking, and running. An Ironman triathlon consists of a 2.4-mile swim, a 112-mile bike ride, and a 26.2-mile marathon.

Fitting It All in Every Day
Michele works out 6 days a week. Currently, she’s training for an ulta-marathon and is running 5 days a week and lifting weights 3 times. She also does Zumba classes. She takes a rest day once a week.
Michele has built her life to be able to accommodate her training schedule. She recently quit her teaching career to focus instead on helping others achieve their fitness and health goals. She is a personal trainer and group fitness instructor. Working at a gym is pure genius – it leaves her with no excuse not to get her workout in!
Eating Like a Bariathlete
How do you have energy to train like an athlete and work full-time while losing over 200 pounds in 4 years? Ask Michele. Here’s how she eats and works out in a typical day.
7:00 a.m. breakfast: almonds and yogurt or eggs/romaine lettuce
9:00 a.m. snack: protein bar
Workout, such as running, lifting, or group fitness class, such as Zumba or bokwa
Noon. lunch: soup or salad, usually the largest meal of the day
2:00 p.m. snack: cheese and crackers or something small, equivalent to 200 calories (may include a fruit or vegetable)
4:00 p.m. snack: hot tea
6:00 p.m. dinner; lean protein, veggie, possibly a carb
7:30 p.m. snack: lemon water/hot tea.

The number of calories Michele eats during a day is 1,800 (her resting metabolic rate) plus half of the calories she burns through exercise. So, if she runs 10 miles and burns 1,200 calories in exercise, she’ll eat 1,800 plus 600 calories, or 2,400 calories. She allows herself an occasional treat meal with junk food, but still counts those calories.
The Accolades
Michele is more than your typical bariatric patient, and she’s been getting the recognition she deserves for her extraordinary achievements. These are a few recent examples.
Runner’s World magazine Cover Contest Finalist.
Makeover on the Rachel Ray Show.
Local feature on 6ABC Action News in Philadelphia.

Dealing with Negativity – Don’t Worry About It
One of the most striking things about Michele is her drive. She has worked very, very hard to get where she’s at today. She’s lost 60 percent of her body weight through being very disciplined every day. And, she has run marathons. Anyone who has run a marathon can tell you that it is was harder than they had ever imagined. Anyone who hasn’t run a marathon cannot imagine how difficult it is.
But with all the publicity, Michele has receive a lot of nasty comments. How is she supposed to react when people slam her? They say she hasn’t accomplished anything, that the band has done it all. In fact, they basically say what a lot of weight loss surgery patients hear all the time from people who don’t know any better.
So how does Michele react to negativity? She doesn’t want to respond directly and add “fuel to the fire.” She knows they don’t know anything about her, and she’s probably done more exercise and worked harder than they ever have. So, she just goes about her business.
Leading by Example
Michele says she hopes her successes and story will give others hope. She describes herself as a “real person” and “very down-to-earth,” and she hopes others will see that they can accomplish what she has. In the future, she would like to travel to seminars as a motivational speaker. In the meantime, we congratulate her on her amazing story and wish her well in her 100-miler this spring!