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how much weight can I expect to lose with the gastric sleeve monthly

on 8/5/09 2:24 pm - Dearborn hts, MI
I need to know if I can lose just as much weight with the gastric sleeve as I can with the rouen y ??? People tend to think that the sleeve gives the minimal weight loss as the lap band. 
on 8/5/09 2:30 pm
VSG on 03/03/09 with

I'm sure someone will post links to the actual studies (I don't have them handy) but the short answer is that those people are wrong.  VSG provides a similar rate of weight loss to the RNY.  In my own case, I lost 29 lbs the first month, 19 lbs the second, then 12, 10 and 10. 



on 8/5/09 2:34 pm, edited 8/5/09 2:35 pm
I did 13-1/2, 10, then 10-1/2 for the first three months.
I was considered a "lightweight," though, and am 44.
So many things can factor into it and I don't know if there's really any way to pre-determine with any of the surgeries.

-- Laura

High 240 -- Surgery 225 (ticker includes 15 pounds lost pre-op)

Ms Shell
on 8/5/09 2:41 pm - Hawthorne, CA
You know like I told one of my best friends it ALL depends on the person and your commitment to your surgery and the ONLY numbers that count are the ones to maintain and not need a revision.  Keep researching...

Ms Shell

"WLS is only for people who are ready to move past the "diet" mentality" ~Alison Brown
"WLS is not a Do-Over (repeat same mistakes = get a similar outcome.)  It is a Do-BETTER (make lifestyle changes you can continue forever.)" ~ Michele Vicara aka Eggface

on 8/5/09 2:48 pm
VSG on 08/26/08 with
There are so many factors that come into play regarding individual weight loss success.

Have you visited our forum reading posts, checking profiles of posters that have reached goal or just hoping to receive all your answers from what folks post in response to this question?? You'll find that pace of weight loss can vary greatly.

Some factors would be
1- starting BMI
2- sex
4- conditions like thyriod trouble, PCOS
5- medications being taken (antidepressants)
6- Last but not least.... One's personal committment to WORK their sleeve, following rules like protein first, being watchful of simple carb intake, drinking all your water, taking your supplements (not required actually), moving your body, etc etc etc.

I'm a 41 year old female with starting BMI near 46. I lost 17 lbs pre op, 14 my first full month, 12 lbs months 2 and 3, etc etc etc. Now I'm down 112 lbs and my one year surgiversary is in about 3 weeks. I did not exercise until maybe 3 month ago with the exception of occasional walks, but I did religiously chart my intake, keep my calories reasonable, push protein first, and avoided simple carbs like the plague. You can have weight loss stalls... so I would be careful to not have your single measure for chosing be "how much a month can you lose".

It's not a sprint though.... it's a marathon.... and so is maintenance for that matter.

One can graze all day after having this surgery and not lose an ounce. It does significantly reduce real physical hunger, but not your mental hunger (that's your work to do) and you will feel satisfied on 4-6 oz of food (less initially) when the stomach swelling goes down. You will not have to worry about serious vitamin deficiencies or the inability to absorb important medications. Nice huh....

Significantly less health risk associated with the performing of the actual surgical procedure, less health risks post operatively due to lack of mal-absorption. I would carefully weigh your options.Good luck to you!!! Many have lost all their excess weight and are keeping it off.


Goal weight reached ~ without malabsorption!!! Yipee.....
on 9/26/14 6:56 am

These are the exact reasons I chose the sleeve! Beautifully said!

on 8/5/09 2:49 pm - Cambridge, Canada
Some surgeons will "under-sell" the VSG, using older stats since it is so "new" relatively speaking (or maybe just new to their practice) and they are not positive of results yet.

I read the Ontario board regularly - where almost all people are either Rny or VSG (with a few DS'er's thrown in).  Here is what I've found for montly loss:

Boys lose faster than girls.  Especially at first - like maybe 20-30lbs a month for the first few months.  Not uncommon to see a guy lose 30-40lbs pre-op.

SMO patients lose faster than MO patients.  The more you have to lose, the faster you seem to lose (most of the time).  Regardless of surgery type.  A more acurate way to "compare" would be to use %EWL.

DS'ers lose a bit faster than Rny'ers or VSG'ers.  Rny'er and VSG'ers of the same starting BMI tend to lose about the same rate.

Weight loss if variable.  Some will lose very fast because they are really sticking to their surgeon's rules and getting lost of exercise.  Some will lose slower because they chose to eat a few more carbs and try to make this a lifestyle change that they can live with (and not treat it as a diet).

The long and the short of it is - it does work.  My surgeon says you should lose 15-20% of your EWL by 6 or 7 weeks, regardless of whether you are Rny or VSG.  Lap band will lose much slower - like 1lb a week.
Proud Member of the Cambridge Crew!    
HW293/LW147/CW158   Height 5'9"  Working on Maintenance!
Fleur de lis TT and Brachioplasty - Oct. 19, 2010 Breast reduction and scar revision August 2, 2011
on 8/5/09 2:51 pm - Pitman, NJ
While the weight loss has slowed, I'm still averaging 2-3 pounds a week...and it's consistant, that's what's important. 

I'm happy with what I have lost so far...and love that it just keeps going...

14 pounds lost before surgery. My first ticker is when I hit onderland: this was my goal when I started on this journey.  I want to focus on that right now...once I get there I can reevaluate.

My second ticker is my dream goal. Even if I only visit there for a short time, it would be nice to see that number just once.  I am pretty sure I'll need plastics to hit this goal.

on 8/5/09 3:36 pm - Red Deer, Canada
I must say I disagree with those that are telling you we lose like the band...The band is the only surgery that I would NEVER recommend for anyone (except maybe my psycho b*tch neighbour)...Our weight loss stats are very similar to those with the RNY...but...we don't have long term side effects from our surgery.  We can take any medications we may need, and never have to worry about them not being absorbed.  We also have most of the ghrelin from our systems removed so that we don't experience physical hunger like they do with the RNY or band.

I am a slow loser...I knew I would be...I am 46 years old and had been on a diet for at least 40 of those years...My metabolism is shot.  I also had insulin resistance so that slowed my weightloss even more.
So, it took me 15.5 months to reach my goal...but you know what...I DID!!!  I have never  denied myself food...any food.  Of course I try and make smart choices, but on days when I want something, like chocolate or cake, or cookies...I can have a bite or two and be satisfied...and my taste buds changed when I had surgery sugar was not as appealing as it was pre op.

Truely, this isn't about how quickly will the weight come off...but what is going to keep you in maintainence mode.
Success is the sum of small efforts, repeated day in and day out.

Robert Collier

Jen C.
on 8/5/09 4:43 pm
I lost 18 pounds the first month and 7 pounds the second month.

Height: 5'7"     Join US On The VSG Maintenance Group Forum!!  

on 8/5/09 4:45 pm - Canada

I'm pretty new at this, too, but see on this board and the "those with 150 or more to lose board for vsg" that the vsg is MUCH better than lapband for rate of loss and ease of loss.

i have had some "issues" post-op with internal swelling making me pretty sick, but in 3 weeks have lost 22 lbs with the sleeve, and 30 overall, since one week prior.

MY sleeve is being a b*tch to get used to, but I must say she's bringing in the results.

VSG- consult March 10th, OOC faxed to OHIP March 24th, Sleep study March 26th, CPAP autotritation April 9th thru the 14th, OHIP APPROVAL: March 31st!! PATS- June 30th VSG July 15th!!!!!!

(weight loss includes 8 lbs lost the week before surgery)

5' 6"  (at surgery, wearing 2x-3x, 20/22)
Goal 175 lbs

on 8/5/09 5:24 pm, edited 8/5/09 5:25 pm - San Dimas, CA
whoever told you the VSG adn band lose at the same rate is either

A. a complete idiot, who enjoys talking out of their ass

b. Someone who doesn't do the VSG and trying to save a sale by telling you this. If they say they do the VSG then thorw the name out here and we will see. These are the same programs that say insurance will never approve the VSG 

just looked at your surgeon profile He's definatel a "B" only does RNY and Lanband

in a *****y mood so no sugar coating today, sorry all out of sugar
on 8/4/12 11:26 am - oakland, CA
i like the all out of switching from a lapband to a didnt do it for at my max fill and gaining weight..i love cookies, cakes and will the sleeve be my best choice? im 200 at 5'6
on 8/5/09 5:28 pm - Alvaton, KY
I have no idea who these people are, but they are ill informed.

I am at 143 pounds lost in 10 months.  How does that compare to the Roux n Y?

I can still only eat a smidge more than 1/2 cup at a sitting (which has not changed for  months).  That's a LOT better than the RnY or the Band.

I feel better than I have felt in well over 20 years, I can now put on my old Army uniform from over 40 years ago (which ain't bad considering I was at 360.5 pounds on the day of my surgery).

You just might want to tell those "people' about how I've done.

A former Army Medic (1959-1969), Registered Nurse (1969-2000), College Instructor (1984-1989) and a retired Rehabilitation Counselor.  I am also a dual citizen of the USA and Canada.

High Weight 412 lbs.                    Date of Surgery 360.5                                 Present  170 lbs   

on 8/5/09 5:43 pm - Fort Worth, TX
VSG on 10/22/08 with
I dont know what rate you would lose at as everyone is diferent but I have lost at a great rate with no long term health issues that you have with malabsorbtion.  when I went to see my Gyno after surgery she told me she was so happy that I had the VSg, she ssaid her patients that have the Rny look unhealthy after about a year.  This is a great surgery and in NO way is anything like the band.
on 8/5/09 10:12 pm, edited 8/5/09 10:31 pm - Northern, CA
Here are some studies with results:

The last one is a video presentation and I wrote down the stats:

BMI 35 - 45 : 82.2 % EWL
BMI 45 - 55 : 73.4 %
BMI 55 + : 52.1 %

Compared to an overall EWL of 61.6% for RnY and 70.1 % for DS

EWL is a strange stat though. It's not an independent variable. It is tied to starting BMI. So early VGS patients were SMO and getting the VSG as the first stage in a two-step DS. That skews the EWL and makes it seem low compared to a more homogenous group.

This is another reason why some of the older stats aren't as good.

Also, many VSG surgeons started out making the sleeve as big as they made it for the DS and this lead to regain in the 2-3 year timeframe and less than expected weight loss.

HW - 225 SW - 191 GW - 132 CW - 122
Visit my blog at Fatty Fights Back      Become a Fan on Facebook!
Starting BMI 40-ish or less? Join the LightWeights

on 8/4/12 1:55 pm
 Quite some time ago there was a post where many of us put up how much we lost by a certain cut off (can't remember if it was 2 months, 3 months, etc but I think it was 6 weeks.).  One thing that jumped out at me was that the pounds were vastly different for folks, but many who posted the EWL percent were all about 30%.  So if I am right that it was the 6 week mark you could in theory figure out a very rough estimate of what your loss would look like for that period of time.  Otherwise, you can see on my ticker the monthly loss and my overall EWL percent.   I was at 80% at the 6 month mark, and I am about 7.5 months right now. 

  Surgeon: Chengelis  Surgery on 12/19/2011  Carb eating loose sleever here!

1Mo: -21  2Mo: -16  3Mo: -12  4MO - 13  5MO: -11 6MO: -10 7MO: -10.3 8MO: -6  9 MO: -5 with slight regain from the original -10   MO 10: -8  MO 11: +1  MO 12: -1.4  Mo 13-14: 0  Mo 15:-10 (meds side effect) Month 27: maintenance so far so good!  BMI 24  CW: 188  Goal in 8 months 4 days!!   6' 2''  EWL 103%  Starting size 28 or 4x (tight) now size 12 or large, shoe size 12 w to 10.5   150+ pounds lost 

on 10/16/12 3:01 pm
I am a new member here, I appreciate that each person have their own experience but I did the surgery with my sister on the same day, she weighed 110 kg and I was 97 kg. it’s been 3 weeks and she lost 20 kg and I only lost 7 kg, my doctor said its fine but I keep wondering why??  I mean I weigh less and I eat much less too, I am still on fluids while she started the smashed food last week! I have another problem which is keeping food in as when I tried smashed food I couldn’t keep it so I stayed on fluids, so, is that normal? I will really appreciate it to hear from some of you who faced similar issues Regards S
on 10/16/12 5:14 pm
 Try not to compare sara... this will work for you if you stay on plan.  It is not a race!  If your sleeve is not ready for smashed food no worries, just wait a little longer.  It is not uncommon to read posts like that.  

  Surgeon: Chengelis  Surgery on 12/19/2011  Carb eating loose sleever here!

1Mo: -21  2Mo: -16  3Mo: -12  4MO - 13  5MO: -11 6MO: -10 7MO: -10.3 8MO: -6  9 MO: -5 with slight regain from the original -10   MO 10: -8  MO 11: +1  MO 12: -1.4  Mo 13-14: 0  Mo 15:-10 (meds side effect) Month 27: maintenance so far so good!  BMI 24  CW: 188  Goal in 8 months 4 days!!   6' 2''  EWL 103%  Starting size 28 or 4x (tight) now size 12 or large, shoe size 12 w to 10.5   150+ pounds lost 

on 10/16/12 5:13 pm
 Varies by person- see my ticker.  

  Surgeon: Chengelis  Surgery on 12/19/2011  Carb eating loose sleever here!

1Mo: -21  2Mo: -16  3Mo: -12  4MO - 13  5MO: -11 6MO: -10 7MO: -10.3 8MO: -6  9 MO: -5 with slight regain from the original -10   MO 10: -8  MO 11: +1  MO 12: -1.4  Mo 13-14: 0  Mo 15:-10 (meds side effect) Month 27: maintenance so far so good!  BMI 24  CW: 188  Goal in 8 months 4 days!!   6' 2''  EWL 103%  Starting size 28 or 4x (tight) now size 12 or large, shoe size 12 w to 10.5   150+ pounds lost