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@@rose1504 Definitely get your Thyroid checked, and not just TSH and T4, but T3 as well. I have Graves Disease (autoimmune thyroid disease), this kept me slim my whole life, till 2014 when it did 180 degree turn, and I was piling on weight at a frightening speed. I went from 60kg to 101kg between 2014 and March 2016. I also developed astonishing sweet cravings during that time, which made a mess of me. Graves is Hyper-thyroid. I had every symptom of this disease, except of bulging eyes and goitre. There is also Hypo-thyroid (under-active), Hashimotos etc which also can really mess with metabolism and general well being. Good luck @@rose1504 I hope you don't have thyroid disease, as I wouldn't wish it on my worst enemy ...... Had my both ear Daiths pierced 3 weeks ago, to see if they would help my thyroid migraines and severe headaches. They (the acupressure point piercings) helped me tremendously! I was living almost daily on very strong pain killers. Now, I don't take them, and so those piercings really helped me. I have a huge stock of heavy duty pain killers at home, and now I forget all about them. So, Good Luck with all your tests. Please let us know how you went.

I am one of ones here that can honestly remember being both skinny at 5'9" 112 pounds---I was skin and bones, not much muscle---just skinny. It was not intentional---it is how I was. I ate everything in sight, and never gained an ounce. I fought like crazy to gain up to 123 pounds so my wedding gown fit! Then I had a baby---and for the first time ever I gained weight. I went home in jeans I wore before the baby. But it soon ended! When I stopped nursing, I was hospitalized for a mastitis infection that hit my blood stream and caused sepsis---I gained 80 pounds in 3 months time! Seriously! I was not eating different. It was extreme! From there I went through bad marriage, abuse, and more serious weight gain! Ironically---some of it totally intentional! (shaking head at self here!!!) Before long, the weight was totally out of control. I could lose pretty well, but it would not stay off. Then it got to where losing so much as a pound took weeks of HARD work---and even then any semblence of normalcy and it come back! I found myself facing very close to 300 pounds, and being morbidly obese. In the time since being banded, I have had to have most of my thyroid removed, and in the medical processes for that, I learned that the inability to gain when I was younger was my first sign of thyroid trouble----and the hormone change of pregnancy, and sudden cessation of nursing, flipped the switch he said from hypo- to hyper thyroidism. Not an excuse, but an explanation---it was pretty scary to be young and out of control like that. But with no insurance, I had no real options for figuring things out. Both extremes, as well as the years I spent in the middle, at a normal weight are both well in my mind, and I can say without a doubt....no questions ask--------morbid obesity brought with it much, much more personal heartache, peoples cruel comments, and open disgust from not only yourself, but even medical personel! I do remember being told I needed to gain a few pounds--by assorted relatives I seldom saw and a Dr. None of which saw me eat! More people by far were envious of how I could eat without consequences---and for the most part I ate healthy enough, just more than you would imagine for remaining so bony! My hip bones jutted out so far, I would have to sew the front pockets of my jeans closed, because the white pocket was forced out and showed! I could have ---not based on looks, but on build---beenon any magazine cover with todays stars....I was EXTREMELY thin---I referred to myself as skinny. The word did not bother me then, nor does it now. None of it compares to morbid obesity. I do not mean to be argumentive Jachut----but as I went up the scale--it got worse the higher I got. The heavier I got, the more invisible I got to parts of society, and the more others thought they could say hateful things without issue! Every single thing you have health wise, is an easy call for a Dr. It is all due to your weight! Until you have felt/heard others talk about you based on nothing but your weight...had a room fall silent when you walked in, simply because they were staring, then jerking their heads away---seen them share looks with who they were with--or been "mooed" at, (and these just a few among many, many ways people find to be cruel) morbid obesity has not touched your life. These did not all happen to me, but I have read about them right here at LBT. I have read the pain involved in each of the situations---and experienced similar things personally, or similar enough situations to know the shame, the hurt, and even the anger they invoked. Should I have gotten control much earlier, of course! I am willing to bet most of us by far wish we had found help before reaching the morbidly obese category. For many of us it didn't come until further down the path of obesity though. Depression, lack of funds, lack of availability all figure into the issue--but having seen and lived from one end of the spectrum to the other----I do believe that unless one has lived and experienced morbid obesity, it is hard to understand or explain. I also believe it is hard to explain to someone in that position (obesity in general) how much better life is, or how much better they will FEEL---at a normal healthy weight. I am quite sure it is difficult for both to see or understand the other --obese vs. thin- without ever walking in those shoes. I think we all want to be accepted where we are--not just at where we want to be. Whether we all strive to be a perfect BMI, or if we are happy elsewhere, if we are working hard where we are, or if we have arrived at goal, and are thrilled with the newfound freedoms of not trying to lose weight still, we all just want to be accepted and have our efforts recognized. Belittling one another, whichever direction it goes is really kind of sad, and usually indicates an unhappiness in ourselves. My experiences show that people usually tear others down in an effort to build themselves up. Maybe the next LBT banner needs to be our own Dove commercial---but without me!!!! LOL Kat

Well we all have our stories and with them we have success and failures. My is failure but it will be a success soon. I started out not knowing how sick I truly was. I had a stroke and 3 TIA which are like mini strokes, High blood pressure, Diabetes, Hypo- thyroid, A blockage in the vein in my brain and a ton of minor problems. After surgery I had a bad infection that was caused by the hospital staff and a Minor heart attack. With all this I do not regret having this surgery. So remember that we are all not a like and the horror stories are not every bodies. I did loss some hair but it was a lack of vit. Also some of the stories are about people not being honest with themselves and have problems afterwards. Good luck I hope it helps.

Thank you everyone. I've been gone for awhile because I got busy again but I got my blood test back and my hemoglobin was low (10.6) and my fasting blood sugar was 106. ???? I still am having the strange sensations of pressure coming down from my head and being dizzy when I stand up. At first, it was just after eating food but now it's after I take my medicine and after I eat food. My PCP still isn't doing anything and my surgeon hasn't called back yet to schedule any test. I see my APRN tomorrow afternoon and I am going to talk to her about the medication and how it's affecting me. I've been on zoloft, wellbutrin, and risperidone since 2011, its not working and it's time for a change. I also took my medical symptoms into my own hands and did some research on it. It seems I really do have reactive hypoglycemia or POTS. Also, my surgeon isn't doing anything about my bleeding because its bright red blood...its not in his "medical jurisdiction". ???? It was dark red one time but that wasn't enough to worry him? I just can't figure out why no one is helping me down here other than the fact I have medicaid and they treat us badly.

Obviously, patients should not violate dietary restrictions imposed by hypo- or hyperglycemia. However, barring these medical conditions (most of which go into remission after weight loss), there is absolutely no empirical evidence to support the effectiveness of abstinence from certain foods in weight loss and weight loss maintenance: NONE. Barring the aforementioned medical conditions, rigid abstinence from certain foods, such as a hamburger or piece of cake, is a psychological issue, not a medical one. I can write this with confidence as a professor of psychology who worked in the field of addictionology for over 15 years. The problem with abstinence is that it leads to the well-documented abstinence violation effect: I must abstain from doughnuts. If I break down and have just one, then I must have 100. This effect is psychological, not medical. There is no more evidence to suggest that compulsive eating is a physiological addiction than alcohol dependency is a disease. Porting over the AA philosophy of disease and allergy to overeating is a psychological travesty. I challenge anyone who disagrees with this to present empirical evidence to the contrary that has been published in a referred professional journal. You won't find any. Granted, abstinence may be temporarily working for someone (although it won't over the long haul). However, this does not mean that those wedded to the abstinence model should try to shame those who are trying to learn how to eat in moderation. The underlying premise of abstinence is unfounded, shaming and chastising are never helpful, and that kind of post is entirely self-congratulatory. If I were unable to eat, for example, one hamburger without obsessively craving more and more of them, I'd see a cognitive-behavioral therapist who specializes in eating disorders. I would not be attempting to shame those who are able to successfully eat just one in an attempt at denying and avoiding my own highly conflicted relationship with food. Doing so may not rise to the definition of Nazism or fascism, but maybe we can all agree that it's not very nice.

I was 199 when I decided to be sleeved. I'm 5'2". I've been fighting my weight battle for more than 10 years. I was extremely depressed and unhappy. My knees hurt, my back hurt, and I was pre-diabetic. I've lost 20-30 and gain 40+ more times than I can count. Both my parents are extremely morbidly obese. I could see my future in them and it wasn't pretty. I could guarantee that my weight would only continue to escalate so I decided to be proactive rather than reactive. Why wait and waste more of my life? I needed a weapon for my weight battle, and the sleeve was it. Today I am 138 and feel like I am living for the first time in more than 10 years. I feel healthy, mentally and physically.

So you don't think I've got reactive hypoglycemia? Sorry a bit confused as I'm not oregnant I'm 48 and a year post op these symptoms only came on a few weeks ago and this is what another experienced sleever said I had and fits my symptoms. I will ask my GP for a blood monitor when I see her next week and as I'm in the uk I hope they supply it on the NHS even though I'm a self pay bariatric patient.

3.5 years post op.. My blood pressure came down, hypo thyroid meds decreased.... Blood sugar lowered... Cholesterol lowered... I have a herniated disc in my neck that I had to have an epideral injection into ever 3 months but with the weight lose I only get one a year. Joint pain has greatly improved. I didn't have a lot of diagnosis medical problems but if I did nothin for another two years it would have been bad.. I'm 35 now.. And wish I would have done this sooner, just for the health benefits

Ugh. Your poor thing, that sucks. I have reactive skin and will welt up with some adhesives, so I know how that feels.

Second guessing and some regret is normal when one runs into problems. It is well to realize that whatever road you chose in the past was likely to be bumpy, even if the bumps might have been different. The bypass, in addition to having its own quirks (someone just showed up on today's recent topics column who is having reactive hypoglycemia problems - that's one of those quirks,) that can cause regrets, would not likely have been any better on helping you with your regain (RNY and VSG are very similar in that regard,) and is also more difficult to revise should you have had problems. So, there is (and was) no easy, straight answer. We follow what looks like the best road for us and take what life throws at us over time..

yup, i had this when i was pregnant. i highly recommend getting a blood sugar monitor to check blood glucose levels before and after eating and exercise to see how food and exercise affects you. it's different for everyone. some people get high surges and then drops. some people are only reactive to high GI foods, so people are reactive to not eating enough carbs, some people have sudden drops whenever they eat. if you track your BGL you will be able to more easily treat it.

I don't know how many are "many" (there is something called "adverse selection" that is common in online forums, where negatives outnumber positives because everyone with a complaint will post about it, but those with nothing to complain about are largely silent, so things tend to seem worse than they are,) but it does happen for a few reasons. The sleeve is predisposed do reflux problems due to its geometry and physiology. The volume of the stomach is reduced much more than the acid producing potential, so it takes a while for the body to adapt, and sometimes it doesn't. Also, the sleeve is considered to be a "high pressure" system in that the stomach is often closed off by the pyloric valve at the bottom, so excess gas, fluids or solids have no place to go other than back up; the bypass is a "low pressure" system as there is no pyloric valve in the system, so excess gas can vent down into the intestines. In contrast, the RNY due to its geometry and physiology is predisposed to dumping, marginal ulcers, reactive hypoglycemia and bile reflux. With either procedure, this does not mean that everyone will experience these problems, just that this is the natural result of the anatomical changes that have been made. Another compounding factor with the sleeve is the relative experience level of the profession - in the US, the sleeve has been routinely approved by insurance for about the past 6-8 years, while the bypass has been routine for around 40 years. This means that there has been some revisions needed due to inexperience in some of those early sleeves - the surgeons may have been well experienced doing bypasses and bands, but a new procedure, even a straightforward one such as the sleeve, brings along its own subtleties and nuances that take practice to master. Resultant shaping issues can promote or exacerbate the reflux problem. In the US, most bariatric surgeons are now far enough up the learning curve that most are now making routinely making functionally competent sleeves (one should always seek out a surgeon who has several hundred of whatever procedure one is interested in under his belt.) However, now the problem is, as it has been since early on, is that many are not very experienced in correcting any problems that may crop up with a sleeve, so the natural inclination is to stick within their comfort zone and revise to a bypass when a problem occurs, rather than correct the sleeve. So yes, the OP is correct in some respects that there are some unnecessary revisions being done, though not necessarily just for the sake of charging for two procedures. As time marches on and the industry gets more experience with sleeves, I would expect that the revision rate will decline as both the sleeves will be made better overall, and the surgeons learn how to repair them when necessary rather than revise them, much as the bypass has matured over time and some of its predisposed problems are less common as they have learned how to mitigate them to the extent they can (bile reflux isn't too common anymore as they have worked out techniques to minimize its occurrence, for instance.) Another factor that may skew the impressions some is that the bypass is a difficult procedure to revise - it is something of a dead end surgically speaking. If poor weight loss performance or regain is experienced, there is little point in reversing it and revising it to a sleeve as they are both so similar in performance that there isn't much to be gained. There are minor tweaks that are offered - tightening of the stoma or intalling a band over the bypass - but overall results are generally pretty poor. Revising it to a DS, which can offer improved weight loss and regain resistance, as well as diabetes remission, is a very complex procedure that only a handful of surgeons are capable of performing. So, we don't see a lot of bypasses revised for that reason, though sometimes they are reversed if there are significant complications that can't otherwise be resolved, though that isn't a trivial option, either.

Exactly this! Now I literally eat what ever I want because I exercise a lot. Early on, my cravings were for protein, fruits, and veggies. I do not eat much in the way of concentrated sugars at this point, due to reactive hypoglycemia, (said as I munch on some teddy Graham’s). 🤦🏼‍♀️With that said, I am in maintenance, ran 4 miles today, and do not want to lose weight. In maintenance, you can eat foods you want to eat providing they do not make you physically ill or cause you to gain unwanted weight.

That is so wonderful that you have such great control of your diabetes. Are you a Type 1? I'm just curious because most diabetics (T2's) go into remission. That isn't to say that they still wouldn't have a reactive hypoglycemia happen if they ate just a carb with no protein follow up. I am T2 and still wearing my pump, however my numbers are behaving much better than they were prior to surgery. Actually, aside from the weight I gained from insulin use and not being able to drop it, and the horrible insulin resistance I have is why I had this surgery done. Keeping my fingers crossed that at some point the insulin will not be needed. I'm only 3 weeks out, and I've been diabetic for over 21 years, so it may take the weight loss to lower the insulin resistance. I'll be patient; I have no choice. But, much happier that I'm not pumping in tons of insulin with my numbers staying high anymore.

So I am one of the unlucky ones who gets reactive hypoglycemia. It is not fun and I am still trying to figure out the combination of foods that cause if for me. I have had it happen about 12 times since surgery 20 months ago. When it comes on, you don't even realize it is happening until it is almost too late. I suddenly don't feel right, I start shaking and I crash very fast. It takes a lot to get my sugars back to normal. I was a very controlled diabetic before surgery. I will usually have a Protein shake for break fast but occasionally I like a small bowl of cream of wheat. On the days I have that cream of wheat I have to be very careful eating some protein within an hour of the cream of wheat. If I don't do that I am almost guaranteed a episode. Once you have an episode it is very difficult to get control of it without eating more carbs all day long so the trick is never getting there in the first place. I had an episode last week and looking back at why, I know my carbs were higher than normal and my body simply does not like that. It is a very scary condition and if it gets too severe and you don't figure out what causes it, the only cure is having your bypass reversed which is absolutely not a solution for me. So, I have to be diligent about eating right and checking your sugar the minute you feel weird. Last week when I felt it I tested my sugar and I was at 43. Scary! I hope you figure out what might be causing your situation. Make sure you get to the bottom of it so you don't break your face!

I also developed Reactive Hypoglycemia about a year ago (I probably had it longer, just didn't realize) I wear a Libre CGM and have discovered it reads a bit lower than my one touch meter. I have been following The Glucose Godess for tips on how to eat without creating a huge spike and a deep drop. I feel like so much food is out of my reach now as almost everything causes a spike. I see an endo for this issue and strive to keep my spikes under 150. I have heard this can be reversable, but not sure if this is true.

Hi meggiep! Glad you mention it's coumadin...whole different animal. When it comes to razor cuts, there is no way to assess how superficial the cut is until we see the patient in the ER. If I were you I would tell your friend to go to his PCP and have his PT/PTT times checked (coagulation times). There is a possibility that he may have to have his dose adjusted. Just a thought. Remember...preventive medicine always beats reactive medicine!!! Best,

Hi there, thanks for responding. Here are answers: How often do you dump? If it's responsible for the majority of your weight loss as you claim then you would be dumping pretty frequently. If it is actually dumping you wouldn't likely be dumping enough to impact weight loss. So I never said I was losing weight because of this. I think I lost weight just from keeping on the proper plan initially. I would say I get sick at almost every meal, regardless of the ingredients, but it's severe with anything carb or sugar-related. What actual foods cause you to dump? Pretty much everything but it's particularly horrible with carbs, sugar, and greasy/deep-fried foods. In what quantities? I don't measure anymore but it doesn't take much. A few bites will do it, or even a small square of something sugary. How soon after you eat do your symptoms appear? Within 10-15 minutes. What are the symptoms? It feels like my heart is going to pound out of my chest, feel dizzy, head pressure, brain-fog, and overall sense of anxiety. I also get reactive-hypoglycemia...but not true hypoglycemia. My body just responds very poorly to blood sugar drops because they happen so fast, but rarely have I been in hypo numbers.

Thanks for indulging my curiosity. To [hopefully] clarify the conversation, black are my original questions, red are your replies, purple my feedback. Just to ensure everyone is on the same page, Dumping Syndrome is typically related to consuming sugars and/or fats, as has been previously mentioned. Dumping on other foods is exceptionally unusual. How often do you dump? If it's responsible for the majority of your weight loss as you claim then you would be dumping pretty frequently. If it is actually dumping you wouldn't likely be dumping enough to impact weight loss. So I never said I was losing weight because of this. I think I lost weight just from keeping on the proper plan initially. I would say I get sick at almost every meal, regardless of the ingredients, but it's severe with anything carb or sugar-related. Sorry about my misunderstanding. I inadvertently connected two unrelated thoughts. I apologize. The fact you get sick at almost every meal would tell me you aren't generally dumping. It's not to say that you are never dumping, just that it is not generally what is going on. What actual foods cause you to dump? Pretty much everything but it's particularly horrible with carbs, sugar, and greasy/deep-fried foods. Again, "Pretty much everything" would indicate that much/most(?) of what you are experiencing is not dumping. Dumping is in response to specific foods rather than most foods. In what quantities? I don't measure anymore but it doesn't take much. A few bites will do it, or even a small square of something sugary. I understand that you don't measure, neither do I. "A few bites" does answer the question, though. A 1.5" x 1.5" square of fudge or comparable sugar dense candy can easily make me dump. How soon after you eat do your symptoms appear? Within 10-15 minutes. What are the symptoms? It feels like my heart is going to pound out of my chest, feel dizzy, head pressure, brain-fog, and overall sense of anxiety. I also get reactive-hypoglycemia...but not true hypoglycemia. My body just responds very poorly to blood sugar drops because they happen so fast, but rarely have I been in hypo numbers. These comments add I think what are the more important pieces of information. If this were dumping, you could simply reduce the sugars or fats that might be causing distress. But when it's almost everything, frequently, then it doesn't sound like just or even mostly dumping, if it's dumping at all. If you are, in fact, over consuming sugars and/or fats over frequently then your initial steps would be clear: stop doing that and see if this fixes your issue(s) in short order. If you've tried yet continue over consuming sugars and/or fats frequently and unable to stop yourself then were I in your shoes I'd get myself to a therapist post haste. [ETA: I have not gotten the impression you are out of control in this way. Quite the contrary.] This is not a diet or nutrition issue in my opinion. It's not that you're not working to eat the correct foods, it's that eating any foods too often cause physical distress. Were this me, I would have long ago become a squeaky wheel. I would be camping in my surgeon's or PCP's offices until I got a resolution, or at least significant progress, in fixing whatever is going on. I would not be put off. Bottom line: Get your medical team to work helping you. Be your own advocate. Good luck, Tek

Denmark, Norway, Sweden,Finland and Iceland. Trolls are Scandinavian in origin. Ever notice how people who have lost their favorite coping vice....and are really freaking hungry...can be really really...bitchy? And also really touchy and reactive about other people who they perceive are being bitchy? Hell, I'm guilty of it. Probably of both. Sure don't mean to be. I'm not pointing fingers at any particular party....just something I've noticed. People get extra angsty and on edge when they're stressed and have one of their main coping mechanisms missing. This whole adventure has tough moments you don't expect. Emotionally difficult spots that might show up as fangs instead of tears. Something to keep in mind. PS...if anyone asked me if I went to the gym in real life, I'd probably smack the **** out of them. If they're not a close friend whose kind intent I was certain of...without the context of real love and support....it's a rude question. Just sayin'

Honey congrats on the amt. of weight that u did loose.. U have to realize that most people get more than 3-fills in a year after time goes on the fill evaporates over that much time... Make an appointment and go get another fill... U can do this u already have the tool inside u just have to reactivate it... :incazzato:

I'm supposed to eat 4 oz every hour. I can't, it's too much in one shot. So I eat 2 oz every half hour. For the food portion, I Water down Campbells broccoli and cheese. I make a big pot (1 can-skim milk based) and put it in the fridge. Then when I need some, I just measure out my 2 oz. Because it cools quick, I make it nice and hot and eat with a spoon. For my powder I do: 8 oz skim milk 8 oz Crystal Lite Orange (sugar free Tang is even better, if you can find it.) 2 scoops whey vanilla (contains 60g protein) purchased at Walmart. BLEND WELL. Chill a tray of orange ice cubes. Either drink (or nurse )4 oz ever few hours, or nurse an 8 oz glass half the day, and the other, the second half. The orange ice cubes help keep the taste going, and it really takes like an orange smoothie. I'm sure other Crystal Lite Flavors would substitute well, like strawberry. OH and I keep a diary so I don't forget. Weird, before the lapband, I could get up in the morning and not even think about food until 6 hours later. Now, I'm HUNGRY. I guess it's completely psychological. As a large person I knew I was supposed to eat three meals a day to keep up a good metabolism (and mind is sluggish and hypo), but I just couldn't bring myself to doing it. BUT was forced to to keep that diary and eat all those meals to prepare for the surgery. Now that I'm used to eating all day, going liquid sure is hard. I feel that I just need to immerse myself in some work and I'll forget how hungry I am all the time. So that when I set the timer to remind me to eat, I'll be pleasantly happy OR maybe disillusional.:eek:

I was never a ketosis kid either. I was very intent on avoiding post-bariatric reactive hypoglycemia, so I always tried to eat at least as many carbs as Proteins (grams). I reached goal (150 pounds at 5'5" and 69 years old) at 8-1/2 months post-op. And now I'm 3 pounds below that while trying to stop losing. I'm averaging about 1400 calories/day the last few weeks. But still losing very slowly. I eat extremely healthy -- lots of good veggies and fruits, typically 100 grams of Protein daily, whole grains, very little refined sugar and other refined carbs. Always take my vits/mins, and my big four-page blood panel results found everything was normal and good. Feeling good. Looking good. All going good here. So here's my challenge of the moment: It's a challenge for me to mentally *agree* to stop losing. Seeing the scale go down, even 0.2 pounds, is definitely a more positive feeling than seeing it stand still. Honestly, I'm a little worried about that. The idea that I could become anorexic is ridiculous to me. But I do realize that I've got to change my attitude into one that feels rewarded by seeing my weight stabilize. Anybody got any thoughts on that front? BTW, many thanks to @@Rogofulm for lobbying Alex to open this maintenance forum. Thank you, Rog.

https://www.healio.com/endocrinology/diabetes/news/print/endocrine-today/{1dc23215-49dc-4ad7-90da-346ba16663d6}/post-gastric-bypass-hypoglycemia-a-serious-complication-of-bariatric-surgery Bypass people have more hospitalizations for hypoglycemia and tend to have more severe symptoms, but sleeve folks can get it, too. Research on this complication is ongoing. Of 175 eligible patients, 120 were randomized 1:1 to RYGB or SG; 117 (93%) completed the 12-month follow-up. Reactive hypoglycemia was detected in 14% and 29% of SG and RYGB patients (P = 0.079), respectively, with the effect of treatment in multivariate analysis significant at P = 0.018. Daily hypoglycemic episodes during continuous glucose monitoring did not differ between groups (P = 0.75). Four of 59 RYGB subjects (6.8%) had 1 to 3 hospitalizations for symptomatic hypoglycemia vs 0 in SG. The static β-cell glucose sensitivity index increased after both treatments (P < 0.001), but the dynamic β-cell glucose sensitivity index increased significantly in SG (P = 0.008) and decreased in RYGB (P = 0.004 for time × treatment interaction). Whole-body insulin sensitivity increased about 10-fold in both groups.

I have hypo thyroidism I went from weighing 130 to. 230 in a couple months no change in diet or excercise it was awful I trieeverything then two kids and a tubal preg made it even worse I'm so thankful I got to do it because maybe I can have the confidence I used to and be in shape like I was