One of my concerns is regain. I have in the past, about 10 years ago, lost 100lbs following a low carb low fat diet along with medication from my Dr. Anyone else concerned about regain?

I think everyone does in some form. Doesn’t mean it will happen though. Yes, a bounce back regain of 10-20lbs is a real possibility but it doesn’t happen to everyone.

Whether you regain or not I think depends on a number of factors. Some you can control & manage & some you can’t. Complacency - letting the new good eating habits slide. Not dealing with emotional & psychological issues behind your eating habits. Health & medications - some medications are renown for increasing your appetite or a health situation may arise that limits you in some way. Unsustainable way of eating to maintain - too restrictive & stops you from enjoying & living your life as you want. Life - sometimes throws crap at you & good intentions are the first to go. Commitment - accepting the changes you make have to be forever.

I had 40 years of losing & gaining weight. Every diet, dieticians, medications, exercise plans, you name it I did it. I’d stick to it, lose weight & as soon as I stopped I would start regaining again almost immediately. Simply because I went back to eating the exact same way as I did before. I had a low & a high weight I bounced between until the last 4 or so years & my weight exploded. Nothing worked then so surgery was my only solution.

Am nearing 5 years & have basically maintained my initial stabilised low weight. Never have been able to keep weight off like this ever. I had a medication glitch but we sorted that & I lost the 5ish lbs I’d gained without doing anything. I work at it every day. I established a way of eating that was sustainable & works for me, my needs & my life. Same with my activity. Don’t exercise as such just do four x 5 minute sessions of resistance bands & stretches 6 days a week - wouldn't burn 20 calories. I’m okay with that because it works for me & I’m happy to do it

You have to be mentally ready for this because that’s where a lot of the battle is. Sure the surgery gives you some tools, but for me, the time it gave me while those tools were at their most effective was the biggest win. It was when I examined my relationship with food (the why, what & when I ate) & worked out what I needed to do make be the most successful.

I wouldn’t stress about something that may happen because it simply may not. Just be aware of it. You never know what the future will bring & you’ll have built a wealth of knowledge & strategies & have a support team (doctor, dietician, therapist) to help you get on top of it.

All the best.

Thank you for your thoughtful response, it really helps.