Revision: Slow weight loss?

[miss_smiles 192]

hi all! I had a revision from sleeve to bypass on May 30th, and 6 weeks in I only lost 17 pounds from surgery day so far.

preop highest: 260, Surgery Day: 241, CW: 224

Is anyone else having issues? I am getting my 60 g of Protein, 64 oz of Water, and walking more (maybe 2-3 miles a day). I am getting SO frustrated when I see others at 6 weeks down 20-50 pounds. Any suggestions, or similar issues?

[RickM 1,747]

There are a couple of factors at play here. Yes, revisions typically show slower results than an original or virgin WLS. Think of it this way - when you had your first surgery, your stomach had a capacity of somewhere in the 32-64 oz neighborhood, depending upon how much you stretched it at a meal; after surgery and some months or years of adaptation and growth, your stomach would have a capacity of maybe 4-8 oz. that you had learned to live with, so there isn't nearly the difference in capacity with your revision surgery. There are also some metabolic and hormonal changes that come with the surgery that help you over your "normal" obese state, and that change is now less with a revision.

Further, if you had a pre-op diet where you lost the initial 20ish lb, you have already lost most of that quick and easy Water weight that we lose when we first start a major weight loss effort; those of us who never had a pre-op diet will experience that rapid water weight loss soon after surgery and will show those impressive numbers that you sometimes see in the forums.