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Had my pre-op and it was A LOT! I was there for 2.5hours and I know that the surgeon has to be clinical with speaking about what is possible or not. It ended up being a little bit more money due to needing an Internal bra. He said that with the weight gain, weight loss, and breastfeeding two children my skin is thin and without the internal bra he would not do the surgery as the implant would move and be unsuccessful. I am getting 495cc high profile, he said this size would get the size that I want and he feels good about this size healing and looking good. He is one of the best of the best and has been doing this for over 35yrs so I trust him but it was a long appointment and being told that I needed extra things to make this successful because my skin sucked just was shitty to hear and hard when I pick apart myself every single day (which I know is not healthy). Now that the appointment is over and I had a day to stew- I am confident that I will look how I want and getting excited to get them done in 17days!

hank you both so much — I honestly do know the rules and I really am trying to trust the process. But I just have this lingering question I need to ask — maybe for peace of mind more than anything. If I’m doing everything I can — eating clean, prioritizing protein, tracking, moving my body, staying consistent — will I definitely reach my goal weight eventually? And also… is regain really that easy? I hear people talk about it a lot and it scares me. Is it actually hard to regain weight after bypass if you stay mindful, or is it something that creeps up even if you're doing your best? I know everyone's different, but I'd love to hear some honest thoughts from those who’ve lived through it.

Wholeheartedly with you on this. I was fit and in shape my whole adolescence, I had both my kids and stayed slim and never tracked anything. I worked out hard, ate well, prioritized protein and had fun on the weekends and that worked for me for over a decade and two pregnancies. My weight ballooned up all of a sudden and kept going up and never stopped, and no matter what I did I was never able to lose weight. I had a very bad ankle injury 2 years ago that caused even more weight gain (33 lbs) on top of what I had already gained and due to the injury my mobility was greatly affected and my weight was spiraling out of control. Even at my highest weight I worked out 5 days a week and ate well and Nothing! So I understand your frustration fully. The only thing that worked was the VSG, the pounds melted off like butter and I regained control. If I were to go back in time, I would track everything I ate to figure out where the issue lay, I would weigh myself multiple times a week and see what the scale is telling me. I would do this before jumping on the surgery wagon. I wish I did that, because no matter how much I worked out and how well I thought I was eating, I was doing something wrong, and the surgery outcome proves it. Now that is my own experience, I am all for living worry-free and being intuitive, however these tools can give us great insight until we are where we need to be. I never weighed myself regularly (went by how my clothes fit), now I do. I never tracked my calories, now I do a few times a week just so I don't go off track again. There are days where I don't track because I know roughly how much I'm eating, and some days I do just for QA. Again, calories from here and there add up, so it's good you're aware of that. Also, there are other tools out there (GLP-1s if you're willing) that can rev up your metabolism and help the weight loss start again. With all that being said, you are doing amazing and it is important you don't lose sight of that ♥️

💪Huge congrats on your results. Looks like you'll be in the driver's seat and have the options available within your desired timeline I'm ignorant to the intricacies of the skin surgery but do have experience with your other question...in getting below the "obese" BMI labeling. It was a major rush...almost surreal. It was especially noted when I would go shopping for clothes. Being 6'4" and obese my normal stores were simply big & tall stores. Upon hitting closer to the normal height-weight range my options opened up exponentially. Felt pretty damn good to roll outa a dressing room and hand stuff back because it was too large. Too Large...wow. Life was a pile of fun living at that weight. A family health crisis occurred and it completely changed every aspect of life as I knew it. My health was such a distant concern as to have been off the radar for a few years. Getting back on the road towards normal height-weight range has been like riding a bike. All the tools, principles and prior methods are familiar and fairly easy to resume. The hardest part was getting my head wrapped around it. One thing I had to get firmly set in my mind was this: It is not selfish to focus on your own health, it is selfish not to. That is now hardwired in my noggin. . Keep on hitting those home runs. Winning always feels GREAT . 👍

Ugh. It pisses me off when doctors make any of us feel like some number they come up with is applicable to each of us when even we know that all of our bodies are unique and the complexity of obesity. A weight difference of three pounds could be ANYTHING!! i know this is a little different because it chemo but it’s really not because like anything it’s not true weight gain so an example is when I come home from chemo I weigh about 6-7 pounds more than I did that morning and the next day. But everytime, the following day I drop it all. I don’t understand the science but it’s something to do with inflammation that any of us could have for various reasons to some degree. Also three pounds I know for a fact I have lost from a bowel movement. I always weigh myself first thing in the morning and I weigh about 3-4 pounds less than if I weight myself later in the day. . Long story short three pounds is absolutely nothing to stress about and if your doctor does then either smile and nod and tell them you will do better or express how ignorant they are being but whatever you do, DO NOT let that get under your skin!! Your loss is incredible. As @Justarwaxx suggested, Don’t let anyone negate how hard you have worked. Instead Celebrate your amazing progress and if anything use his or her ignorance to fuel you and keep going. 100 pounds is absolutely Amazing and takes real lifestyle changes to accomplish. All you have to do at this point is to stick with it and the rest will come off in a matter of time. The time may vary person to person but it will happen. You’ve got this!!

For me it has been a life changer. I had the sleeve and lost weight but not as much as I had hoped and then I gained it right back plus some. Never did have the metabolic changes or the changes that made it a little easier to eat healthy so when I got done with my SADI revision I know right away that it was going to be different this time. I mean I still want pizza and burgers but I don’t hate chicken and fish now either so it makes it a little easier to make the healthy choice most of the time. I also exercise a lot and I think that has made all the difference in my commitment to my new lifestyle as well as My mood and overall health. Obviously I can’t say I know if it would have been better or worse with the Bypass but statistically as a revision the SADi does provide more loss and a more durable loss. Of course it is never so not as much long term research has been done and bypass is the tried and true gold standard but as a revision the loss is statistically less than as a virgin surgery. I think for me it was a perfect fit but you will want to keep in mind that you need to understand your surgery well enough to explain it or call your surgeon and ask them to when it is appropriate. Most of my doctors have never heard of it and when I was about to get an endoscopy/ colonoscopy done and the dr hadn’t heard of it I called my surgeon to see if that was okay and he called to explain my anatomy to them. Another thing to consider is whether you surgeon is resleeving your stomach. Mine did not. He said the difference in weight loss was not significant amount to take the risks that come with reducing the pouch. Something to do a bit of research on to decide if it’s worth it to you. If you have any specific questions about my experience let me know.

Question for you all with experience with going on GLP-1s after surgery. First of all I started out at 325 before I started my pre op diet, Day of surgery i was 315 (Oct 2), Tomorrow I am 4 months post op gastric bypass and I am down to 259.8 (55 since surgery and 65 since the pre op diet)Anyways, I also have a failed attempt with the gastric band back in 2013. Lost 100 lbs only to have complications and gain it back so thats part of my side story. My Dr. recommends GLP-1 starting now because of my high BMI and how much I want to lose after surgery. Personally i would prefer to start this after I’ve lost all the weight I can with diet and exercise and have plateaued. What is your experience with this. I am always wondering if im on track. I would ultimately like to see 160-175 but I guess I wont know until I get there. Any feedback or experiences would be great! Thanks

Congratulations on your spectacular weight loss! You look great, and must feel healthier too

Sometimes you have to do things differently than other people or use some of other people ideas to help with the pre-surgery weight loss task goal. When I started, I drunk two meal replacement shakes that was high in protein (30mg) and for dinner I would eat a small portion for dinner. The amount I would eat for dinner was the amount you are supposed to eat after surgery. I even started drinking my water 30 mins before my meal and 30 mins after my meal. I actually have been keeping this going for the past four months and within the last two weeks I did the full on liquid diet that helped me reach my goal weight before surgery. I know some people talked with their provider and got on medication to help them lose their goal weight before surgery. It will be okay; you will get there.

Heavy Weightlifting completely changes your body!!! I’m 8 years post-op and I incorporate 5-6 days of weightlifting into my routine. I ONLY do about 10 minutes of cardio (10 minute run) each workout day, which in actuality is my warmup before I stretch and lift. I also incorporate hypertrophy (higher rep, lower weight) training into my workouts to help with muscle growth, but the most empowering part is getting strong and hitting new PR’s (personal records). When I first started lifting, I could not lift too much weight. The lower weight WAS my heavy weight. I would find a weight that I could rep 8-10 times before failure. My squats literally started with the bar (a standard Olympic bar weighs 45 lbs). Now, after 6.5 years of consistent training, I can squat 245 lbs, deadlift 320 lbs, bench 185 lbs, curl the 40 lbs dumbbells. I really wanted to fill up my arms & legs with muscle to lessen that loose skin (which I still have, but not so noticeable), so I worked hard. I researched, read, incorporated. I was—and still am—constantly learning, correcting, and incorporating. I learned how to diet for optimal muscle growth, which optimally includes 1 gram of protein per body weight and complex carbs, and good healthy fats. At first I didn’t know what complex carbs were, so I looked it up😂, picked out foods I liked, and incorporated them into my diet. I’m not going to lie, complex carbs are the hardest to consume because of their density (and my sleeve still works when I’m eating the right foods—freak’n sliders!), but I make it work by eating small frequent meals throughout the day (I eat about 6-8 different times, including shakes). I also discovered a supplement drink in powder form called Karbolyn (by EFX Sports) that would help me hit my complex carb macro goal. Anyway, long story short, when I first lost all my weight, I got down to 140 lbs, and a size 4-6. Now, I weigh between 155-160, and still wear a 6 (the 4’s are too small for my arms because they’ve grown with muscle mass 💪🏼😆💪🏼). I’ve literally shred the fat and have added muscle mass. And since 1 lbs of fat takes up way more space than 1 lbs of muscle, I’ve been able to pack on more muscle in the same amount of space. Weightlifting is where it’s at. Man or woman. I’m just trying to inspire women because women tend to fear lifting heavy and fear that they will look manly. I assure you, I do not look like a man. 😂🤣

You keep that positive outlook you are doing great. Be proud of how much you have lost and how well you are metabolically. That is something to celebrate. I applaud you for keeping the faith as you slowly lost the weight and became healthier and healthier. That is the most important thing, you are healthier. Congratulations!!

I don’t think a surgeon will ever assure you of your loss or your ability to sustain the loss because the surgery are not always a perfect fit for everyone nor is everyone compliant in doing their part to make the surgery successful. I had the gastric sleeve several years ago and that was not a good fit for me. I lost weight a pretty significant amount, but I gained it back. Recently, I had a revision surgery and the difference has been night and day in terms of how it has helped with my metabolism this time. I have energy that I never had before and I am exercising like I never have and healthy food still isn’t preferred over pizza, but it isn’t awful like it was before, which makes the choices to have good nutrition and fitness a bit easier. Nothing is going to make them easy. I’m sure but the surgery does make them easier if it’s a successful fit for you.

You look lovely. And you had a bouncy castle. So much fun! Congratulations on your weight loss so far, your size 14 win (yay!) & your fifth year anniversary.

Had weight loss surgery 7 years ago. 2 years into it started drinking heavily. I use to drink maybe 2 or 3 drinks a year. Now I'm a full blown alcoholic in recovery. My ex wife also hade bypass and started to drink alot but was able to control it. Anyone else struggling with the cross addiction?

Hi everyone! I haven't been on this site in a VERY long time, but I am currently on a new weight loss journey and I thought I would report in with my experience and the hope that some of you newbies can learn from it. I had my VSG surgery on 9/1/2014, so 10 years ago this month. At the time of my surgery, I weighed ~260 pounds and I am 5'6". I have lost and gained weight a million times before that, with my highest weight ever having been 277 pounds. In the first couple of years after my surgery, I was able to get below my goal weight (165) all the way down to 154. During that time I trained for and ran in a half marathon and a full marathon, completing the full marathon in September 2016 (almost exactly two years after my surgery). I separated from my then-husband in May of 2016 and our divorce was final in December 2016. My life took a very different path after that and I did not stick to my healthy diet and exercise. I met my current husband in February of 2017 and while I love him dearly and he is THE BEST, he is a bit of a hedonist and we definitely supported each other in our hedonism. I became a connoisseur of fine craft beers and we have a large friend group who we go out with or have get-togethers with several times a week. I not only stopped running but stopped exercising altogether. Both my current husband and I put on weight in the seven years we have been together, especially during COVID, and I got all the way back up to 234 pounds! Last year, my husband was diagnosed as pre-diabetic, and, in April, we resolved to turn things around together. Since then, I have lost 30 pounds and I am on my way down to my new goal weight of 180. So, here are some things I want to report, trying to lose weight again for the first time since immediately after my surgery: The restriction still works! I cannot eat much more than about 200 grams of food in one sitting. Once I cut out snacking and stopped drinking as many calories (beer), it was easy to rely on my sleeve to restrict my daily caloric intake. My metabolism is still normal. As a 5'6 female weighing 203.2 pounds, I still burn ~2100 calories per day just by living, according to my Garmin watch and it definitely tracks with the calorie differential I am logging and the weight loss I am seeing. I still can't eat and drink at the same time. I usually have to wait about 45 minutes to an hour to drink anything after I eat a full meal. Being overly full is still an unpleasant feeling. Before my surgery, I used to love the sensation of being "stuffed." Since surgery and to this day, it is still uncomfortable for me if I overeat in one sitting. Not a pleasant sensation at all, but not painful like it was in the very beginning. I can still get dumping syndrome if I'm not careful. If eat too much sugar too fast, usually in the form of ice cream or a milkshake, I get dumping syndrome and it is VERY unpleasant, fortunately, it is very rare. Food can still get "stuck." Every once in a while, mostly when I am eating turkey or pork it seems, food can get stuck and it is completely miserable. Be sure to thoroughly chew your food!!! Especially dense meats. My advice to anyone who is post-sleeve and still losing weight or trying to maintain their weight: Snacks are the enemy! It's so easy to get in extra calories by eating smaller amounts between meals. Your sleeve won't help you at all with this. Drinking your calories is easy and dangerous. I haven't given up my precious beer entirely, but I have cut back and I am mindful of the type of beer I am drinking as some types are more caloric than others. You can just as easily drink your calories even if you don't drink alcohol. Be wary of soda, milkshakes, energy drinks, juices, and too much cream/sugar/syrups in your coffee. Keep up with the exercise. It doesn't have to be training for a marathon like I did in the beginning. Currently, my husband and I take a ~mile walk after dinner each night and we try to do one, long, 4-5 mile walk/hike on the weekend. Just that moderate amount of activity can make a big difference. Be mindful of calorically dense foods. Even though I can only eat 200 grams at a time, if it is 200 grams of junk, it can have a LOT of calories! I hope the lesson that all of you take from this post is that the sleeve is a tool and it is all about how you use it. It can work for you, even 10 years out, as long as you use it correctly.

Offer to be the designated driver. Nurse one glass for hours (did that a lot & still do it but for an hour or so now). Say you’re not really in the mood to drink. Or you have been fighting a headache all day & you don’t want it to come back. Or if you’ve realised you’ve been drinking a bit lately & decided to have a dry couple of weeks. They will notice your weight loss soon if not now so you could be semi truthful and say you’re making a few changes and trying to lose some weight. Whatever you decide to say add you’re glad to see them and to spend time with them & make sure they know you’re okay with them drinking or eating whatever they want.

Okay so I was curious to know exactly how much more our bodies burn while we are healing so I asked Google and this is copied from AI response. Basically if we need more calories to maintain as your healing you really may be good by just cutting back a tad on the extra Carbs since your carbs were much higher due to a very high level of activity, which you’re not sustaining but honestly if I was you I would Just wait until your through this to worry about losing you could take even longer to get back on track if you try to lose now “Yes, your body burns more calories during the healing process after surgery. This is because your body's metabolism increases to help heal the incisions, fight pain, and prevent infection. Explanation Hyper-metabolic state After surgery, your body enters a hyper-metabolic state, which means your metabolism increases. This causes your body to break down muscle protein, fat tissue, and neurotransmitters to provide energy for healing. Calorie needs During the healing process, you should consume more calories than normal. A general rule of thumb is to consume 15–20 calories per pound of body weight. Protein needs In addition to calories, you also need more protein during the healing process. Protein is a key building block of the body and is necessary for tissue growth and repair. Hydration Drinking plenty of fluids, mostly water, helps deliver nutrients to the wound site. What to eat Eat a balanced diet with a wide variety of foods Eat nutrient-rich foods like fruits, vegetables, lean fish and chicken, grains, beans, and nuts Take a multi-vitamin/mineral supplement if you don't get enough nutrients” This is from HSS.com “How many calories should I be consuming since I will be inactive? Now is NOT the time for weight loss! When people are immobilized, they worry about gaining weight. However, you should NOT decrease your calorie intake because you will be inactive. In fact, your calorie needs are now greater than usual because your body requires energy from nutritious foods to fuel the healing process. You will need to consume about 15-20 calories per pound (using your current body weight). If your overall energy and protein needs are not met, body tissues such as muscles and ligaments will begin to break down. This will compromise healing and may prolong your recovery period”

My goodness, how?! since I had my BA I cannot get my weight back down. Even with the exercise and cutting calories. I am feeling a bit defeated

I am about 6 weeks out from my arm lift. I was cleared Friday to resume normal activities. Today I was at the gym lifting weights, though not yet quite as much as presurgery. Do everything they tell you and recovery should be a breeze!

3 lbs in 10 days sounds like water retention. Have you had more salt than usual? I gained almost 4 lbs in a week at Christmas, but it was gone within 2 weeks and now I'm back to slowly losing. If you've had a disruption to your routine, that could explain it. Or hormonal shifts. Or just your body messing with you because you were looking forward to hitting a certain number on the scale and the universe finds it amusing to taunt you (been there).

Ask him about the statistics of long-term success with the sleeve. The sleeve is great for many people don’t get me wrong, but I believe it was 26% of sleeves that need to be revised. If I’m not mistaken, this included because of Gerd as well, but also inadequate weight loss to begin with or weight regain, which was more common with sleeve than with the other surgeries. When I talk to my surgeon about revision, I wanted assurances that I wasn’t just wasting my time going to lose all of my weight. Only to turn around and gain it back and he said the sleeve does not have the same metabolic changes that the SADI or Bypass offer. While the. Sleeve is enough of a change for many people it’s just not enough for some. In my case when I lost my weight, I was basically on a diet with the sleeve which was a little bit easier because I wasn’t hungry, but once the hunger came back, so did the weight for me so this may be different for you because you did keep it off for a while, but I would ask what the statistics are in terms of people who gain it back down the road with sleeve is that more common than with the other surgeries? I guess one kind of pro for doing the sleeve would be that if you did regain the option for a revision would probably be a lot easier. Not trying to say that you want to think of that before you even start but it is a possibility for all of us I guess. It’s a lot of questions and a lot of information when you start weighing more than two options especially but just be thorough and ask all your questions you will know which option is best for you once you feel educated about them all. Best of Luck.

I agree, almost certainly just fluid retention. Both hormonal changes, as well as exercise will lead to extra fluid retention. Keep in mind that when you stress your muscles, whether by cardio or by strength training, muscle fibers break down. The repair process requires fluid buildup to do things like help remove waste products and transport things like cytokines and amino acids that are needed for muscle repair. It's really unlikely to be fat, since in order to gain that much fat in 10 days, you would have had to eat over 10,000 more calories than you burned off, or roughly 1,000 more calories every single day. While a little bit of it may be additional muscle, it would be a really small amount (maybe a 10th of a pound, if that). You're just not eating enough to pack on a lot of muscle in just 10 days, and even if you were eating a lot more, you just don't have enough free testosterone to gain much muscle in 10 days. Even male bodybuilders taking anabolic steroids couldn't pack on 3 pounds of muscle in so short a period.

Yes, in a heart beat. I wish I had been able to do it years ago. I'm 75 lbs down and couldn't have lost the weight any other way.

@Arabesque honestly could you find a menopause specialist and pay them for what you need until the supply issues are sorted? Your gain is so VERY clearly related to your hormone status. Nothing else has changed. Online if you can't access locally? There are medical professionals who do this for a living. As you know I had the classic third year regain last year and have been fighting that ever since. Not daily or weekly, but it's in my head all the time. Also - just dropping into your thoughts. We people with obesity have a metabolic disease even if we're currently thinner because of surgery. There are now drugs that replace what we never naturally produced (GLP-1 et al agonists). Would you consider micro-dosing on Ozempic or Wegovy etc in order to replace what you never had and keep you on track?

it's very unusual for "normal" weight loss patients (that is, those of us who aren't the size of the folks on "My 600 lb Life") to lose that much weight (the 30 or 40 lbs you mentioned) the first month. I have been involved nationally - both on forums and at conferences - with WLS for years, and I've never known anyone to lose that kind of weight (maybe 30 lbs - but even those folks are outliers. Forty pounds? Never). Most of us lose somewhere in the 15-25 lb range that first month, so you are right where you need to be. I lost 17 lbs my first month, and I started out at well over 300 lbs. I went on to lose 235 lbs (have gained some of it back, as most people do, but I'm still over 200 lbs lighter at nine years post surgery). Your loss is absolutely normal.