Does a second surgery mean the weight comes off slower?

[dolly30gs 2]

I originally had gastric sleeve 5/20/14, HW 250. I had to do a conversion to RNY 11/1/17. My last weigh in was 196lbs. At one month post op I was down to 176lbs, mostly due to the liquid diet. I haven't budged from that number in two weeks and it was there for a week before the weigh in. I'm just wondering if it's a stall or if it's just smaller amounts coming off slower because it's my second go round? Any ideas?

[FluffyChix 17,413]

Well...so I'm told by my surgeon. She calls it the "one golden shot" surgery.

But, you also know about the dreaded 3 week stall, right? It can hit anywhere from 2-8 weeks out so I hear? Hang loose, and work your plan like your working your favorite corner on a Saturday night on the strip!

[Introversion 1,876]

Revisional surgery patients often lose a bit more slowly than 'virgin' bariatric surgery patients.

This is because the revisional surgery patient's body has already experienced the metabolic shock of a previous bariatric surgical procedure in the past.

There's a saying: "It's never as good as the first time."

However, some peoples' mileage may vary...a few people have more success with weight loss and maintenance after the revisional procedure.

Good luck to you.

[Mhy12784 423]

59 minutes ago, Introversion said:

Revisional surgery patients often lose a bit more slowly than 'virgin' bariatric surgery patients.

This is because the revisional surgery patient's body has already experienced the metabolic shock of a previous bariatric surgical procedure in the past.

There's a saying: "It's never as good as the first time."

However, some peoples' mileage may vary...a few people have more success with weight loss and maintenance after the revisional procedure.

Good luck to you.

I haven't heard that, are you sure that's a real thing? (the metabolic shock thing, it doesn't sound very scientific)

I know that revisionsal surgeries are more likely to be/have complications and the long term success rate of them is less (ie whatever underlying problems that caused the original ot fail could cause this to fail)

But I would imagine that the weight should come off roughly the same. However you have to account for age and weight. If your original surgery was at 350 pounds at age 25 of course weight would come off much quicker than with a revisionsal surgery at 250 pounds at age 40

Edited December 15, 2017 by Mhy12784

[Introversion 1,876]

23 hours ago, Mhy12784 said:

I haven't heard that, are you sure that's a real thing? (the metabolic shock thing, it doesn't sound very scientific)

Here's a quote from the Texas Bariatric Specialists. I don't pull random, unfounded information out of my ass. Generally, I back up my information with reputable sources.

Quote

Many patients don't realize that after a revision, weight loss is generally slower, and the percentage of excess weight lost sustained is slightly lower than what is experienced after a primary weight loss surgery procedure.

[FluffyChix 17,413]

My surgeon actually said the same thing in our first seminar. She calls it the 1 Golden Shot Surgery. She's a Baylor top doc in Texas.

[Introversion 1,876]

2 minutes ago, FluffyChix said:

My surgeon actually said the same thing in our first seminar. She calls it the 1 Golden Shot Surgery. She's a Baylor top doc in Texas.

Also, the following link takes you to a YouTube vlog made by Dr. Matthew Weiner, a bariatric surgeon in Michigan, who mentions the '1 golden shot' nature of revisional surgery.

http://drmatthewweiner.com/bariatric-surgery-revisions-will-they-help-or-not/

[FluffyChix 17,413]

2 minutes ago, Introversion said:

Also, the following link takes you to a YouTube vlog made by Dr. Matthew Weiner, a bariatric surgeon in Michigan, who mentions the '1 golden shot' nature of revisional surgery.

http://drmatthewweiner.com/bariatric-surgery-revisions-will-they-help-or-not/

Oh wow! LOL. Maybe they either teach that or she heard it from him? Good times!