i made a vsg four years ago, i started from a weight of 148 kg, going in three month to 122 kg. than arrived covid. italy was in lockdown, i regain weight to 138, than go to 126, back again to 134, in this period i see the 119 when i was sick, and now back to 128. i feel like i was a failure, and i don't know what to do. i work with a dietitian and an endocrinologist but nothing work on me. what am i suppose to do? i am the only that have that problem? in the first year i was alone, nobody follow me and now it's so difficult make it work

I am sending you hugs. Your weight is still down from 134kg, so you are not a failure. I am sure that people more educated than me will be able to offer you more and better advice. But I will say that I think you should start tracking your food intake so that you know how many calories, carbohydrates, and protein that you are getting. Vi auguro buona fortuna e spero che ci terrete aggiornati!

1 hour ago, Sherry1997 said:

i made a vsg four years ago, i started from a weight of 148 kg, going in three month to 122 kg. than arrived covid. italy was in lockdown, i regain weight to 138, than go to 126, back again to 134, in this period i see the 119 when i was sick, and now back to 128. i feel like i was a failure, and i don't know what to do. i work with a dietitian and an endocrinologist but nothing work on me. what am i suppose to do? i am the only that have that problem? in the first year i was alone, nobody follow me and now it's so difficult make it work

Firstly, you are NOT a failure! I am 6 years post vsg, and it's a marathon, not a sprint. You are still 20kg under your start weight, which is fantastic! I regained 5kg two years ago, and felt I was on a slippery slope again. I went back to the basics, started on my shakes again, really counted all my food and managed to lose it again. But I am still 10 kg from my target weight!

Has your nutritionist got you keeping a food diary? We often underestimate our portion sizes, or we are drinking calories we don't realise (milky lattes, a cocktail, thickshaks or sodas).

But please, don't beat yourself up. A sleeve is just a tool to help you, it's not a win or fail. Best wishes.

I track all, what i eat, how much, how man exercise. I don't count calories because i used to be obssesed by them, and my nutrician doesn't whant this

You are not a failure. Below are links to web articles on how even a little weight loss can lead to large benefits :

https://www.webmd.com/diet/ss/slideshow-five-percent-weight-loss

https://www.businessinsider.com/guides/health/diet-nutrition/benefits-of-losing-weight

https://www.nih.gov/news-events/nih-research-matters/benefits-moderate-weight-loss-people-obesity

https://www.obesityaction.org/resources/benefits-of-5-10-percent-weight-loss/

Is it possible your endocrinologist would consider prescribing one of the new GLP-1 medications? In cases where you've had the surgery, are doing everything right with nutrition and exercise, and still can't lose weight, I've heard a drug like mounjaro can make a huge difference. It's worth asking about as that seems to be something that some sleeve patients really benefit from during the maintenance years.

14 minutes ago, NickelChip said:

Is it possible your endocrinologist would consider prescribing one of the new GLP-1 medications? In cases where you've had the surgery, are doing everything right with nutrition and exercise, and still can't lose weight, I've heard a drug like mounjaro can make a huge difference. It's worth asking about as that seems to be something that some sleeve patients really benefit from during the maintenance years.

Unfortunately newer GLP-1 agonists like for weightloss like Zepbound (counterpart to mounjaro) and Wegovy have limited availability in Europe. But I believe Saxenda is available in Italy.

https://www.politico.eu/article/health-fake-weight-loss-drugs-ozempic-and-wegovy-surge-in-europe/#:~:text=In Europe%2C Wegovy and Ozempic,it's available in the U.S.