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Hi, all. I'm new here, but I'm scheduled for an endoscopic gastric bypass revision for early May. Looking forward to hearing from others who have had the procedure. My RNY was in 2001 surgery weight 465, bottom weight 290. I have slowly regained almost half of that amount back over the past 23 years. I never really felt that the pouch or the anastomosis were made small enough. I was one of the very first RNY patients in our area and the technique was in its infancy at that time.

I was recently told that I have PCOS. My husband and I are currently trying to conceive, and have been for over a year. I get very frustrated and critical of myself because I keep hearing “you might have better luck if you lose more weight”. I’m so proud of where I am, though. I’m 7 years post-GBS, and I’ve kept all the weight off (125 pounds). But it always feels like it’s never good enough. Any tips or advice? Thanks! -Sarah

I made it past 100 pounds lost! 11 more to go until I get to my goal weight of 150

I agree with @SpartanMaker eating more might sound crazy but it works! Resistance training has completely transformed my body. I started incorporating it around 4–5 months post-op, and the weight started dropping like crazy. My body looked significantly better compared to when I was just doing cardio. Around 6–7 months post-op, I added 30 minutes of running at least 5 days a week, and at that time, I was eating between 2,100–2,300 calories daily. Even with that intake, I was losing weight and had actually dropped below my goal weight. I had to take a break due to surgery, and during that time my weight fluctuated upward—which was really frustrating. Even though I cut my calories and kept my macros on point, the scale wasn’t moving the way I wanted it to. But now that I’m back to resistance training (I’m not cleared to run yet), my weight is slowly trending back down again. I say try it! If you would like some guidance I have a few circuits that I do and has worked really well! I am happy to share ❤️

Dr Matthew Weiner is a great resource so am glad @NickelChip recommended his video. Another is Dr John Pilcher also a great source of information. It’s not really about popularity or the most performed but about which surgery is best for you. Your surgeon should really take into consideration your current health status and history, your weight loss and gain history, your current weight and how much would be beneficial for you to lose, etc. Also discuss the possibility of side effects like malabsorption, dumping, reflux, regain with the surgeries and what you might be willing or not to live with or manage. Do your research, watch these videos and others they may have and prepare questions to ask your surgeon. If you don’t think they’re as comfortable doing one surgery over another or you don’t feel comfortable with their responses, seek a second opinion or a referral to another surgeon. And remember there are other surgeries beside sleeve and bypass so look into them as well (Sadi, duodenal switch,, RNY, or a mini bypass). I would avoid a gastric balloon or gastric banding but that’s my opinion only.

just a note on BMR - I've heard this from both a former dietitian of mine and from a nutrition class I took a couple of years ago at UW-Milwaukee on obesity and weight loss, so it's likely true (seems to be the case with me, anyway...). It's very common for formerly obese people to need to eat 300-400 calories less per day than a person of the same height/weight/activity level who's never been obese in order to maintain their weight. So in other words (and I'm just pulling this example out of the blue), if a calorie calculator tells you that it takes about 1800 cal/day to maintain your weight, if you were formerly obese, that could mean that for you, it's probably more like 1400-1500 calories to maintain. That being said, I do agree with some of the others that you may be underestimating your calorie intake since I would think you'd be losing weight at that intake level. It might be helpful to cut back by about 100 cal/day for a couple of weeks and see if the scale starts moving again. if not, cut another 100 calories for a couple of weeks. Rinse and repeat until the scale starts moving. I've had to do this a few times to get things moving..

It is going very well. The TORE procedure combined with a GLP1 medication has gotten me a 113 lbs. weight loss.

@AmberFL Thanks for the additional detail! I agree with @ShoppGirl that localized swelling and postoperative edema may be causing a lot of your gain. I do also totally understand the concerns, though! I recently had a procedure done on my proximal hamstring to treat a partial tear. While not nearly on the same scale as your plastic surgery, I wasn't able to workout at all for a full month and even now almost 2 months later, I'm still having to ramp back up really slowly. For example, I'm still not allowed to do any lower body strength training and my running mileage is only at about 50% of where it was before the procedure. Like you, I also saw my weight go up during this time. Even though I knew edema was the likely initial cause, it still messes with your head. This was especially true for me because my workouts are frankly a form of therapy for me. It felt like a double blow. It really sounds like you've got the diet mostly dialed in for now. I suspect one of 2 things will happen as you heal. The most likely eventuality is that your swelling and edema goes down and you find you're happy with where you're at weight wise. If so, be sure to up your calories as your workouts resume. If you find that you are a little heavier than your ideal, then no worries. Once you are working out again, the easiest solution would to only eat back about 50%-75% of your workout calories. This will be slower, but is super sustainable, compared to a drastic cut in calories that would get you leaner quickly, but is also a lot more likely to cause some rebound weight gain. I also noticed something you said in an earlier post and I wanted to commend you for it. You mentioned something about maintaining around 1700-2000 calories. This is something a lot of people don't understand, but you can successfully maintain across a range of calories. Many people think they've got to be EXACTLY at a certain number to maintain. That's just not true. The reason is that most people will subconsciously be a little more active when the calories are higher and a little less when they are lower. Please check in every few weeks and let us know how it's going? I'm sure you'll do great, be we are always here to help if needed.

Hiiiii Have you asked yourself why you feel so much guilt about eating things that are not so "healthy"? You are maintaining your weight right? You workout daily, you track your calories, you've achieved your goal weight. What you're detailing here is that you eat "badly", feel guilty, workout extra hard, rinse and repeat. Have you thought of not labelling food as "good" or "bad"?

167 was my lowest weight and I was determined to keep going, then life happened. I started a new, stressful job, bought a house, moved within a month, and then my dog died in my arms all within a year. To say I'm disgusted with myself is an understatement. Being someone who considers themselves a perfectionist, this is really dragging me down. On top of all this good stuff, my body dysmorphia is unreal. I see my current self in pictures or in the mirror and I see my 300lb. self. Even though I'm in medium clothes when I used to be in 2-3X, I can't get myself to see the change. I didn't have the surgery for vanity. It was successful in helping me come off of diabetes and high blood pressure meds. But now that my life feels like it's finally getting back to a normal rhythm (besides having a 6-month old puppy), I am ready to get back on track and get back down to a reasonable weight. I can see the gain in my face, and it's killing my confidence (if I ever had any). I've talked to my gastric bypass team - I know what to do, but I'm having a hard time getting back on track. I'm trying baby steps, but I'm looking for other tricks and tips for getting there. Any and all feedback is appreciated. Best

I’m starting to notice a pattern. The dreaded stalls and the gained pound for me seems to come after the too good to be true weight loss 🤣 basically what I’m saying is when I lose a couple of pounds quicker than my normal rate then I may go a week without dropping anything or I actually gain a pound or two before I lose again. But the overall my rate of loss for the last 30 days remains pretty consistent. It is super helpful to have that weight log in the Baritastic app. It automatically calculates your loss over the past seven days the past 30 days the past 90 days. Plus, it has a really cool little line graph so that you can see the steady loss also, you can track your measurements on there which is a nice way to keep them because I tend to lose things written on paper. 🤣

So glad to hear you are doing well. Yea when the cravings come back it sucks. I have been doing okay. Tomorrow is my last day of the infused chemo. Surgery on 3 weeks then radiation in five. I will be on the immunotherapy another year and maybe oral chemo depending on the pathology from surgery. 🤞 I don’t need the chemo because that may mean I’m immunocompromised still and I’m so sick of the isolation of trying not to get sick and miss treatment. I got a tiny little cold that made me septic and spent 10 days in hospital which made me miss two weeks of chemo so I’ve had to be super careful to not get sick again and all along they have told me once I get to radiation I won’t have to be so careful. I mean sick would mean I would miss treatment but only for a day or two while I had a fever or felt really crummy and it wouldn’t be life or death. Anyways, I only read about the oral chemo on the patient portal tonight so I will ask Dr more about it this Friday when we chat. Maybe it’s not a big deal. I have pretty much maintained my weight till recently. I’ve gained a few pounds. I’m still on the heavy steroids and the immunotherapy caused thyrotoxicosis I think it’s called. I was hyper thyroid to start but then like 3 weeks later it went back to normal and then to hypo thyroid and apparently it usually stays that way. I reached out to my bariatric team and asked him if I could start on with Govee to help get me off of some of these processed carbs and he acted like I was being crazy to be worried about my weight at a time like this. I said I’m not trying to lose weight. I know I’m not supposed to and I haven’t Since December when I started the Chemo, but I don’t think that if you’re so concerned about me, maintaining my weight to fuel my body and help myself recover that the foods I’m eating in order to sustain an overweight body weight are really helping me recover from anything. I said all I want to do is be able to stop eating the garbage and start eating healthy nutrition again and I would be willing to log all my food again and check in with you to make sure I’m not losing too fast or anything, but he says no way not until I get the all clear cancer free from my oncologist. But I’m helping my oncologist can reach out to him and tell him that I’m not gonna get that for another year and if I wait that long, I’ll probably be as big as a house again without any help. Or I may just have to go through an endocrinologist or my family doctor or something. Anyway, anyways, trying to not worry about it too much but I didn’t appreciate that. He acted like I have some kind of eating disorder or something and I have like a death wish. I mean, I wasn’t saying that I wanna take something that’s gonna make me starve myself to death. I was just saying that I want to change what I’m eating and eat healthy obviously if the medicine made it where I couldn’t eat anything. I would stop taking it. I’m not insane. 🤣 but it is very discouraging to see the numbers on the scale go up even if it’s only 5 pounds.

So I’m 3 weeks post-op with a gastric sleeve. My first disappointment was when the week before my surgery my doctor told me I wasn’t a strong enough candidate for bypass. Ok, fine. But then he wouldn’t tell me how much of my stomach was removed, he didn’t give me incremental goal weights or a final goal weight. 11 days post surgery I had already lost 14lbs, (beg wt on 1/24 was 270lbs, date of surgery 232lbs). I’m trying not to be obsessive about my weight so I’m weighing in every 10-14 days. That being said, I’m already feeling like I’m stalling in my weight loss and even worried about gaining already. Is this a normal feeling? I’m trying to get all my protein but usually fall short. I’m on “soft foods” but can barely get down a 1/4 of a cup of food. The rest of my intake is liquid. Has anyone else had these feelings? Should I bite the bullet and go weigh in? Thank you in advance for any tidbits and opinions.

I heard that reflux could be a side effect of taking GLPs, but I went on a low dosage of Tirzeptitde 6 weeks ago, lost 27 pounds, and am at my goal weight. Before losing weight, I took 40 MG of Omeprazole in the morning and another 40 MG in the evening. Since losing this weight, I've switched to once in the morning and have almost zero reflux! Losing the extra weight did the trick for me. BariatricPal does offer Saxenda (Liraglutide), Contrave (Bupropion/Naltrexone), Phentermine-Topiramate (Qsymia), and Tirzepatide in lower doses, which are known to cause less or no reflux. If you're interested, you can talk to the doctor, and they will prescribe what makes sense for your situation.

this is pretty much it. i lost weight at a consistent rate until i made efforts to stop (i lost roughly 10 lbs a month from months 2-7...and while months 1&2 had larger drops, they were not indicative of my average rate of loss). i lost another 10-15 lbs after that over about 4-5 months trying to figure out how much exactly i needed to eat to keep me at a constant weight without gaining nor losing (which honestly is harder than losing weight man) i finally sorta stabilized at 115-120 for the next 4 years. basically i stopped losing weight when i started eating enough calories to sustain me and my lifestyle choices. now here's kicker: i am now 6 years post op and recently lost about 10 lbs in 2-ish months, again because i was/am eating less than i am expending. so i guess i'm saying it doesn't matter how far out you are, you can still lose weight if you are at a caloric deficit for YOU and YOUR lifestyle. ...and the only (easy) way you can really determine if you are in fact in a caloric deficit is if you track your intake and compare to your weight/body composition (which you'll have to track too) over time. but i get it, this is not for everyone...just offering a strategy that has worked for ME all these years.

To be honest, I wasn't up until now. I don't have loose skin or any sagging but my butt has deflated. No amount of weight lifting seems to help as I'm still losing weight. My concern is time off work, I can't be away for two months 😭. Did you need to take two months off?

I’m 53. I am having sleeve surgery in a couple days. I am worried about not loosing a significant amount of weight because I’m in Peri-menopause.

I made a post about being on semaglutide shots. There aren't working as I weighed at the weight doc's. and I gained 4 pounds since last month. I don't know what to do. But I will be honest. I have eaten nothing but a crispy chicken salad from the Publix which last me for 3 days since I still the restriction with the shots and surgery. I am over year out from surgery. My salad had peppers, cucumber, cheese and tenders with ranch. Only sugar drink I drink is sweet tea no sodas. What am I doing wrong? What should be eating. Dietician aren't helping.

Best advice is to go back to how & what you were eating when you reached your stabilised weight. This was likely the calories and nutritions you needed at that weight. However a bounce back regain isn’t that uncommon. It’s like your body hits a low point but it was actually too low & then you gain a little & your body bobs up to get to what is actually your new set point & where your body is happiest. Check to see if you’ve let a few things slip like with your food or drink choices or or you’ve not been as vigilant about portion sizes, calories, activity, etc. It’s easy to get a bit over confident or complacent with our choices & behaviours. And life sometimes gets in the way of our best intentions. Unfortunately too, many medications, like those you may be on for your depression, can contribute to weight gain. Worth a conversation with your prescribing doctor to see if there are alternatives & also your surgeon to discuss your options to manage it.

All great advice and much appreciated! Thank you all. @SpartanMaker thanks for the number crunching! I am definitely trying to cut portion size. We got rid of all the sugary stuff in the house and things like my tortillas. I've started walking (I have been completely sedentary for years- I work a very stressful, 40 hour week desk job from home.) I can't walk for 30 minutes straight. My low back and knees are trash. I carry most of my weight in my belly. I joke to my husband that I need a rolling cart to set my belly on so my back won't hurt so much. I walk as long as I can & fast enough to get my heart rate up and be breathless to the point that I cannot carry on a conversation. I'm looking for a treadmill so I can walk inside. I tend to turn my ankle & fall if I'm not super careful while walking on the gravel road. Thinking about pulling up some of those old Sweating to the Oldies videos by Richard Simmons LOL That might be a good way to do some cardio. I've failed at losing weight for so long. Today I'm feeling kind of emotional just thinking about what I'm facing. I said in an earlier post that keto & low carb didn't work for me.... fact is, they do work... as long as I stick to them. The minute I stop, I regain the weight I lost. sigh. Seems like I gain weight if I breathe in the aroma of baked goods.

It's my 5 month anniversary from surgery. It's not been a good month. I'm trying to find a new job because I'm miserable to at my current one. I find that old habits are starting to slip in. I've gained a kilo in this month alone. I'm still heading in the right direction, and I'm kicking the old habits back out. I've not been as vigilant as I should have been. I just need to remember that I'm still better off now than I was 5 months ago and keep looking forward.

I want to challenge your ideas a bit here. This concept that there is some underlying mechanism at work that controls our weight and that we don't have any say in the matter is based on something called set-point theory. In short, the theory is that some as yet undetermined mechanism (likely in our brain), wants us to be a certain weight and thus actively regulates both calories in and calories burned to keep us around the same weight. Anecdotally, most people can attest to the fact that there seems to be a specific weight where they naturally settle when they aren't actively trying to gain or lose weight, so the theory makes intuitive sense. That said, there are some big problems with this theory: Why have we not been able to find the actual mechanism for this set-point if it really does exist? How are some people able to change their set-point? How do we explain that overweight and obesity are significantly more prevalent in some parts of the world vs. others? In those parts of the world where overweight and obesity are more prevalent, how do we account for the fact that these issues were much less prevalent until very recently? (For example, the rate of overweight and obesity in the USA has tripled since about 1980.) To explain this, more modern interpretations have suggested a more nuanced approach. We know that historically, food scarcity was the norm. It's logical to assume our bodies are well adapted to dealing with this as a result. Unlike set-point theory, we do have a solid understanding of the physical processes involved in regulating metabolism during scarcity. This means our bodies know how to handle a lack of food pretty well by down-regulating metabolism. (There are several ways it does that, but I'm going so skip discussing those specific mechanisms for now) What our bodies are less good at is up-regulating metabolism in an environment of where there is an extreme availability of highly palatable foods like we have today. We often think of our bodies like a car that's always running. This is somewhat problematic, but let's go with the analogy for now. Just like a car idling will burn some fuel, our bodies burn some calories just keeping us alive. If there's a shortage of food/petrol, (either because I can't afford it, or because there's a true shortage), I can curtail my movment/driving to conserve how much I use. Likewise, if food/fuel is cheap and readily available, I can move/drive a lot and even fill my fuel tank (fat stores), whenever I want. Unlike a car that has a limited fuel tank that can only hold a specific amount of fuel, humans have a theoretically unlimited ability to store excess fuel in the form of fat. TL;DR: It's not so much that our bodies decide what weight to be. It's more that we were never designed to deal with cheap, easy access to super tasty food. At the end of the day, what determines whether or not you have more fat stores than you might want is whether or not you eat more calories than you burn in a day. The entire point of this overly long post is that there's no mechanism working against you that's keeping you from reaching your goal. Our bodies were designed to store excess calories to keep from starving to death when food was scarce. We rarely experience scarcity anymore, but our bodies don't know that. They still will do everything they can to hold onto those stored calories "just in case". There are ways to get beyond this, but that will have to wait for another post.

Semaglutide (and other various GLP-1 agonists) effectiveness can be dose dependent. 4 weeks is likely not long enough to see changes especially if you are still at the starting dose. Here’s a link with some decent easy to understand info: https://www.richlandmd.com/cosmetic/semaglutide-dose-for-weight-loss/ Also these meds are used in conjunction with lifestyle modifications. According to a meta analysis reviewing multiple trials “We observed that aside from the administration of semaglutide, reduced calorie diet and increased physical activity were also part of the intervention. Hence, semaglutide alone probably will not be able to achieve an 11.85% weight loss” https://pmc.ncbi.nlm.nih.gov/articles/PMC9758543/ Take a look at your early post op diet plan and give that a try again. If you didn’t have one, I can share that mine was protein forward (80g minimum) with minimal carbs (under 50 g and mostly complex) and low fat (20g) and almost no calories from drinks unless they are protein shakes. *edited to add: These meds can cause constipation so any weight gain could be due to that You really should consider checking in with the prescribing/administering physician to ask about your progress. Best of luck!

How beneficial are Protein and Multivitamins to losing weight? I’m not doing either at the moment and I’m noticing that I’m not losing any weight

A typical pre-op is dependent on your insurance and your surgeon, but most require things like: A series of monthly visits with a dietitian. 3 to 6 monthly visits are fairly common A visit with a psychiatrist or psychologist. Depending on the outcome, you may need to undergo treatment for an undiagnosed eating disorder One or more education sessions typically done over a series of weeks. This is to better prepare you for both the immediate post-op diet, as well as long term expectations. These are sometimes, but not always done together with the dietitian visits. Clearance from your primary care doctor and depending on your health history, clearances from other doctors such as a cardiologist or endocrinologist. Numerous blood tests, both to look for potential problems and to set a baseline. Again depending on your health history and your surgeons preferences, you might need to have things such as an endoscopy and/or a swallow study done. Some people may even need additional imaging done such as CT or MRI scans. As a diabetic, they may require your A1C to be below a prescribed value. This is for your safety. Honestly I'm probably forgetting some stuff. If so, I'm sure others here can chime in. In terms of lifetime changes to your eating patterns, you need to make sure you're prepared to make better food choices for life. It's a sad fact, but a pretty high number of people that have weight loss surgery eventually gain the weight back. This can be avoided by learning how to make better food choices now, so you don't fall back into old habits once the stomach restriction eases off. It's often misunderstood by those not familiar with bariatric surgery that weight loss post surgery is "easy". Yes, the initial loss can be easier that it would have been otherwise, but keeping the weight off is just as hard, if not harder that it would have been had you not had the surgery. This is why learning how to eat better is so important. People that lose weight naturally and keep it off do so through repeatedly making good food choices and strict discipline. That knowledge carries over really well to long term weight maintenance. The people that fail weight loss surgery often found initial weight loss easy, but sometimes really struggle once they get to maintenance since they don't know how to eat like a "normal" person. Add in the fact that a formerly obese person trying to maintain weight typically can't eat as much food as someone that was never overweight even if they are the exact same body size, and you can see why retraining yourself here is critical. Throw in the fact that (at least in my opinion), most obese people either have an eating disorder, or at least suffer from disordered eating, and it's obvious that the surgery is just a small component to overall success. TL;DR: IMO, It's better to take your time and do it right.