Hi, I was sleeved in 2014. My high weight was 311, I got down to 165 and now I am 205. BMI is 32.

I started to take progesterone for perimenopause two years ago and I have been gaining since then. My sleeve has stretched out a lot in five years.

Does anyone know what the requirements are for surgeons and insurance companies to get overstitch? I can't find anything online, it is so vague. Ideally I would like to be at 175-180.

Anything under that and I look gaunt. I have tried the pouch test and keto and monitoring my calories and protein but nothing really helps. I'm afraid the further I get into menopause the worse this is going to get.

Thanks in advance.

I'm sorry you are going through this! Peri is worse than meno in my opinion!!

I lost all my weight after meno, so it is possible to lose with forked over hormones.

I don't know the requirments for overstitch, I've just "heard" that they aren't always very successful?

Can you tell us more about your diet? How many cals per day and your macros? Maybe give a sample day?

I can tell you as a post meno woman on a big time cancer drug that shuts down all hormones, the ONLY way I lost my weight even after surgery was to do low carb lower fat. Any excess fat and I would/could not lose. I can maintain, and I can definitely gain on high fat. So keto as defined by modern terms doesn't work. I've seen it again and again with post meno women as well.

Also, no booze. It will stop you dead in your tracks for up to 4 days, especially when you are perimeno and meno. It's like we lose our metabolic flexibility.