Coexister

10 lbs a month is pretty normal for the average WLS patient after the first month or two.

based on your numbers (it would be helpful if you filled out your profile so we can see how you are doing), but it looks like you're right on track. I started at 284, was 255ish at surgery and got below 200 about 4 months later. So you're tracking where I did and I'm very happy with my progress. Just keep it up and you'll be fine.

People at your weight don't lose a ton of weight per month - it's only people the size of those on my 600 lb life who are losing a ton of weight each month. Also, you lost a fair bit before surgery, and that can mean you lose a bit more slowly after surgery.
Additionally, given your other medical issues limiting exercise, give yourself some grace AND patience! Weight loss is mostly from food intake, but it can be a bit slower without exercise. You've accomplished a lot already!
Just follow your plan the best you can and take care of yourself physically and emotionally. You got this!

You are doing fine, no one loses at the same rate. We are so hard on ourselves.
Just think in two more months you will be below that 200 mark, start planning that celebration.

Well done on your weight loss so far. At the weight you are now you are unlikely to be losing more than 10lb a month. I think you are doing great, be kind to yourself. They do say that comparison is the thief of joy, and comparing your weight loss rate to others is doing you no favours at all. Chat to your doctor and/or dietician and agree on some realistic goals for weight loss based on for your current personal circumstances.

I'm on here in my head. Lol I started my journey at 281 and when I had surgery I weighed 258. In May I had to have surgery, a permanknee fusion on my left leg. Rod runs from my hip to my ankle. So needless to say exercise is still hard rt now. I have to use a cane to walk. So I'm down to 216 but thats only like 10lbs a month. I've lost down and alot of inches but I feel depressed. I see so many that was at my weight at surgery and are finally below 200.. This journey is more than a food tool. Its emotional. I try not to judge my weight loss by others weight loss but its so hard.
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You are doing great and are right on track. As long as the scale is not moving upward and staying upward as you will have fluctuations and it's mostly staying or moving downward then you are on track and things are as they should be. I had numerous surgeries after my bariatric surgeries ( I had sleeve October 2018) that limited me from exercising and still managed to lose the weight. My biggest one was a foot surgery that kept me from walking as I always tried to at least walk 30 minutes minimum and I still lost or manage to not gain. The mental game is the hardest in this and this forum is the best place when you are feeling down and feeling beat as we are all here for you and you are not alone!

10 pounds is actually really good so try not to get down on yourself. I've had near constant stalls along my journey while I've seen many people breeze their way to their goal with maybe 2 stalls. It gets frustrating and disheartening, so I fully understand how upsetting it is when you compare yourself to others. You're doing great and 10 pounds a month is nothing to be upset about. The first three months I lost in the double digits and then it was single digits for two months and then 10 pounds and then single digits through the rest of my journey. I recently got out of a 47 day stall (I lost 2 pounds on May 5th and then didn't lose anything until June 22nd where I lost two pounds, then lost another pound on July 6th and today July 13th I lost another 2 pounds) in which I was convinced the entire time that I'd hit maintenance and I was extremely sad that I hadn't met my goal weight, but my weight loss HAS still continued even if it moves at a crawl sometimes. Also, I don't exercise much at all due to my arthritis and two back injuries that make it next to impossible and yet, I'm only 1 pound from my goal weight! If I can get there, then I know you can to! So just try not to be so hard on yourself. You'll get there!

Also to add I had to pay for sleeve out of my pocket but the insurance covered my bypass because of the acid reflux issues and it was a “medical need”.

I have had both Gastric sleeve 10/25/2018 and then later converted to a Roux-en-Y-Gastric Bypass with a hiatal hernia repair on 10/07/2020 per acid reflux issues so bad that it was damaging my throat My highest weight was 270 and with the sleeve I only managed to get down to 170. With the bypass I am currently at 150lbs. I feel so much better! The bypass took care of all the reflux issues and I have no issues with eating anything. I have less issues with food now then I did with the sleeve and I feel so much healthier. I have no dumping issues and can drink with no problems. I felt more restrictions honestly with the sleeve as everything hurt more. The extra weight loss is just a bonus!

I have had both Gastric sleeve 10/25/2018 and then later converted to a Roux-en-Y-Gastric Bypass with a hiatal hernia repair on 10/07/2020 per acid reflux issues so bad that it was damaging my throat My highest weight was 270 and with the sleeve I only managed to get down to 170. With the bypass I am currently at 150lbs. I feel so much better! The bypass took care of all the reflux issues and I have no issues with eating anything. I have less issues with food now then I did with the sleeve and I feel so much healthier. I have no dumping issues and can drink with no problems. I felt more restrictions honestly with the sleeve as everything hurt more. The extra weight loss is just a bonus!

I am a little over 4 months out from my revision and close to goal. At first I was scared that the revision wasn't going to work because it didn't feel like I had the same restrictions as I did with the sleeve and I am able to eat things I couldn't with the sleeve> With the sleeve I felt more restriction but as I heal more I feel it more and things have been moving along great and I am pleased with my weight loss. It is slower as I am so close to goal (only about 4 more to go) and I had my revision per reflux. So happy to have the reflux and GERD cured and am having no problems whatsoever in that area. I am happy with my revision and growing to love it more every day! I still walk 30 minutes and log my food daily. I focus on maintaining Water and Protein levels as I notice this is what makes the scale move for me! Good luck! You are going to do great!

I think your body stops losing when you hit a weight it likes. I would think you would keep losing as long as you stick to your plan.

I’ve read over and over again that WLS is not a magic bullet. It takes dedicated, sustained lifestyle changes. But, if we can’t maintain those changes (eliminate carbs, low calorie diet, avoid trigger foods) before surgery, how can we expect to maintain them after surgery? I’m thinking long term here: 5, 10, 15 years after surgery when the magic of weight loss is gone and it’s just daily life. If I can’t stop eating now, how could I expect that to change in 10 years?

Really looking for help here. I had lap band surgery in 2014 and I weigh 15lbs more than my highest pre-surgery weight. I gained back all weight I lost and more, and have the same bad habits.

I’m thinking of revising to gastric bypass, but I’m wondering if I’ll just fail again.

BUT, if I can theoretically make a sustained life-style change post-surgery, why can’t I actually just do that now? (I try, every single day, and I fail week after week).

I feel like it’s possible or impossible. If surgery doesn’t make it easy, what benefit does it have beyond short term (1-3 year) weight loss?

Hi all,
I was just wondering when weight loss stops with revision to bypass. So far I've lost about 25 pounds and am happy but I would like to lose a bit more. I had revision surgery in February. Any ideas of when the honeymoon phase ends?

there really isn't a honeymoon period with revisions - that "magic" is mostly with virgin surgeries. That said, you can certainly still lose weight - it's just more of a challenge than it was before.

I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again.
For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight.
I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up.
I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision.
I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evaluation.

I am hoping ins approves the revision from sleeve to bypass. I have severe GERD and also a hiatal hernia. When I had the endoscopy done in Nov 2019 there was also a stricture and ulcer. The prescription PPI worked until it didn't, he upped it to twice a day and it worked until 3 months ago. Now I'm back to needing Tums as well as the prescription almost daily. I like your post. I only have a regain of 35 lbs, so losing that would just be the icing on the cake. If I can get rid of the reflux I'll be so happy. I can't imagine doing this for the rest of my life! Tell me, what things can you eat that you couldn't after sleeve surgery and what about dumping. The bariatric surgeon I met with last week said they consider it a good side effect to help patients know what to be careful of or avoid altogether. Good luck!!!

How does bypass compare to sleeve? Have you or are you learning what causes dumping? If I have revision surgery it will be due to severe GERD that has developed since sleeve surgery. I've been dealing with it for about seven years. I'm trying to educate myself as much as possible on RNY.

Kempner, TX but working out of the Killeen office with the Texas Bariatric Specialist group. Sleeved December 2018 and had revision to Roux-en-x-y gastric bypass on October 7th, 2020 per GERD/Acid reflux issues causing damage to my vocal chords and creating a cancer risk. Lost 20 more lbs since revision and am happy with results as I was only able to get to 173 with sleeve and now I am 8 bs from goal weight ( Now weighing 153) and finally within reach. I have had no complication and no longer any problems with GERD or reflux and am very happy thus far.

I am a little over 4 months out from my revision and close to goal. At first I was scared that the revision wasn't going to work because it didn't feel like I had the same restrictions as I did with the sleeve and I am able to eat things I couldn't with the sleeve> With the sleeve I felt more restriction but as I heal more I feel it more and things have been moving along great and I am pleased with my weight loss. It is slower as I am so close to goal (only about 4 more to go) and I had my revision per reflux. So happy to have the reflux and GERD cured and am having no problems whatsoever in that area. I am happy with my revision and growing to love it more every day! I still walk 30 minutes and log my food daily. I focus on maintaining Water and Protein levels as I notice this is what makes the scale move for me! Good luck! You are going to do great!

Recovery was so much easier for me after bypass. My energy level was much higher then it had been with the sleeve. I didn’t get all the mood or hormone fluctuations and so that was easier! I knew what to expect and that things would pass. It was so much better.

Best thing is no more GERD/ Acid Reflux! Worst thing is I can't think of is the wrinkles in my face from all the weight loss. I have no issues personally with dumping and can eat anything without any issues except ice cream. I can only eat a very little amount of ice cream (candies too) or I will pay a price with stomach/colon pains and uncomfortable heart rates but I never throw up and I think that may be because of a hiatal hernia repair that my body just won't throw up even when I want it too. I am almost 8 months post op and have lost 21 lbs more with the roux en x bypass and after a couple of months stall and just now starting weight training in a gym am starting to see the scale moving once again. I am only 4lbs from my goal. I am sure my lose skin weighs about this, LOL... But I am happy just not having the GERD or Acid reflux and so it has all been very worth it!

Hello...I use saw your note on here, its old but thought, what the heck going to write anyhow. Your story is so much the same as mine.
I started off with the Lapland, quite some time ago, lost some, not a huge amt. It was such a hard live with, couldn't seem to get the right fill, I spent alot of time throwing up.....had that taken out,got the sleeve, lost a little not a huge about, think I got down to maybe 223, then gained wt. Back..so tried to be real good for awhile My dr. Says the only thing now is the Loop Duodenal Switch...I did all the nutrition appt.s, the trainer, the psyche evaluation, which I ended up paying out of pocket, then I've been waiting and waiting and noone called, then they called the other day and say its been so long (their fault not mine, they had everything ) i wasn't happy but went, so I'm lingering at 260 myself. Now according to her they are suppose to submit it to my insurance and then will set up appt. to make a date. They better I called iurance an it us covered, and he said it takes about 14 days, maybe quicker.if not I will be bugging both of them.
I bet by now you have everything done. If you don't mind would love o hear from me either by Facebook messaging me DonnaRobbinsSmith. Or by email Mammysm@aol.com. thx for listening. Donna

I had my revision on March 23 due to GERD. I have lost 18 lbs thus far and it definitely has been slow. How has everyone else doing?