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Happy to say I have lost 8lbs since that post. Losing about 1/2-1lb week. Tracking food & exercising. Not a great loss but I'll take it. Goal is to lose another 7-10lb
Realistically people lose about 100 pounds with RNY and about 80 pounds with VSG. They learn to eat too much again, even with a small stomach and gain back about 20 pounds in the third year after surgery.
If you want to end up at 130 pounds, then do not start a maintenace program until you are at 110. You have one window of opportunity where weight loss is easy. That is about 18 months. After that it is very difficult to lose any more and very easy to start regaining. Twenty pounds of regain from lowest point is pretty much universal.
About 50% of weight loss surgery patients have lost about 80% of their excess weight and maintaining at five years. For people without weight loss surgery who lose the same about of weight about 97% have regained it all after five years.
With surgery, you still need to exercise and eat properly to lose the weight and maintain the loss. The lasting change has to take place in your brain. Without surgery your chance of maintaing a large weight loss is 3% to 5%.

Real life begins where your comfort zone ends
especially for the older crowd. how much did you lose? did you reach goal? I'm 47 265 goals 165, 130 ultimate. do I have a shot at ultimate or will i be lucky to get to liveable goal?
I was 55 when I had my surgery snd weighed 243 pounds. I lost 122 pounds snd have maintained the loss for 11 years. It is possible.
especially for the older crowd. how much did you lose? did you reach goal? I'm 47 265 goals 165, 130 ultimate. do I have a shot at ultimate or will i be lucky to get to liveable goal?
Good Morning,
I made this video to explain how Sun Exposure relates to you and your Gastric Sleeve Surgery.
Check it out here: https://youtu.be/pH6e0xw9LX0
Regards
Dr. Alvarez
on 10/6/21 11:59 am, edited 10/7/21 6:20 am
Day 1 to 3. Decreasing the dosage from 24 mg/ml to 18 mg/ml. This process will not cause much discomfort, as both liquids are strong enough, and the nicotine content is not inferior to regular cigarettes. From day 4 to day 8. Decreasing the concentration from 18mg/ml to 12mg/ml. For chronic smokers, this period can be the most difficult and, in most cases, the breaking point. Next, try switching from an 8mg/ml liquid to a nicotine-free liquid https://www.thevapecig.co.uk/e-liquid.html. Then you will soon notice significant progress, and I assure you, like me, will be pleased with yourself.
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Good Morning!
I made this video for those of you wondering how they can keep muscle after their Gastric Sleeve Surgery.
Check it out here: https://youtu.be/0H7vh292TTI
Regards
Dr. Alvarez
Anyone can starve and exercise and lose a lot of weight. Everyone or about 97% regain it all within five years. After weight loss, 50% regain 50% within five years I accept that I will be dieting and exercising for life.
I am one who completely lost my hunger and it has never come back. But I do remember one day when I went more than ten hours without eating and I did get hungry that evening. I never let that happen again.
I never feel hunger as long as I eat four or five small meals during the day. Usually about 200-300 calories per meal and three to four hours apart.
It is not magic but it is so much easier to diet when I have no hunger and can no longer eat a large quantity of food at one time. I do follow Weigh****chers, so can eat any food I want as long as I track it. That means absolutely no cravings. I am almost 14 years out and today was 15 pounds over my goal weight. It seems like I do gain a pound a year.

Real life begins where your comfort zone ends
it's a challenge to maintain, yes. But it's do-able.
the problem for me (pre-surgery) was getting to that point. I tried and tried and tried for decades (I'm in my 60s - had surgery in my 50s). On my more successful attempts, I'd lose 50-60 lbs. More often, I'd lose 10-20 lbs. But in any event, within a few months, the weight would pile back on, and I'd be back at square one. I had over 200 lbs to lose. I knew there was no way that was ever going to happen if I couldn't even keep 50 lbs off.
surgery was the only thing that worked for me. It kind of "resets" everything so that you can keep going as long as you stick to the rules. I lost all of my excess weight - 235 lbs (I've gained back 20 since then - although that's not uncommon after you hit your lowest weight)
I do have to monitor myself closely to maintain my weight, but as I said above, so do most of my never-been-obese friends. But the point is, I never would have gotten here without the surgery.