Why You May Gain Weight After Gastric Sleeve Surgery and What To Do

Experiencing Weight Gain After Gastric Sleeve Surgery?

It's normal to expect rapid weight loss in the first few weeks after undergoing gastric sleeve surgery. However, some patients may notice their weight stabilizing or even increasing slightly around the 2-week mark post-op. This unexpected weight gain can be concerning but is usually temporary. Here's what causes it and how to get back on track with weight loss after gastric sleeve surgery.

Why You Might Gain Weight Shortly After Surgery

There are a few common reasons why you may experience weight gain in the early weeks following gastric sleeve surgery:

• Swollen abdomen and fluid retention: After surgery there can be some internal swelling and fluid buildup. This is normal and temporary. As the swelling subsides over the next few weeks, you'll likely see a drop on the scale.
• Constipation: Pain meds and changes in eating can cause constipation. Being "backed up" leads to extra waste and water weight until your system normalizes.
• Increased hunger hormones: After surgery, levels of the hunger hormone ghrelin initially spike before settling down. This can temporarily increase appetite.
• Overeating: Some patients graze frequently or overeat soft foods in the early stages post-op before restrictions fully kick in.
• Lack of early exercise: In the initial recovery period activity is restricted, which can lead to some weight gain.

Tips to Get Back on Track

While a small weight gain shortly after surgery may be frustrating, there are some simple solutions to help you get back to losing:

• Stick to the postoperative diet: Focus on protein-rich soft foods and avoid snacking or grazing behaviors.
• Increase fluids: Drink at least 64 ounces of water daily to help reduce swelling and constipation.
• Move more: Gradually increase activity like short walks as your doctor allows.
• Be patient: Remember that fluctuations are normal. Stay consistent with your diet and the weight loss will resume.
• Talk to your doctor: Discuss any concerning or persistent weight changes with your bariatric surgery team.

When to Worry About Weight Gain

In most cases, weight gain shortly after gastric sleeve surgery will resolve on its own. But contact your bariatric surgeon right away if you experience any of the following:

• Gaining more than a few pounds after initial weight loss
• Persistent swelling or pain in your abdomen
• Fever, vomiting, or other signs of an infection
• Chest pain, difficulty breathing, or other emergency symptoms

Rapid weight gain later on, after youve recovered from surgery, can also be a concern. Contact your doctor if you notice your weight creeping up or new patterns of excessive eating.

What to Do If Weight Loss Stalls

Many patients experience a plateau or slowdown in weight loss at some point after gastric sleeve surgery. Here are some tips to get over a weight loss stall:

• Analyze your diet: Are you making high-calorie choices or grazing? Keep a food log to identify problem areas.
• Check for hidden sugars and fats: Things like sauces, dressings, and condiments can secretly pack calories.
• Up your protein intake: Protein helps keep you fuller for longer and prevents muscle loss.
• Increase exercise: Add strength training and cardio to burn more calories.
• Consider therapy: Emotional and binge eating may require professional support.
• Discuss medications or revisions: Your surgeon may recommend prescription weight loss medications or a conversion to a gastric bypass or duodenal switch if appropriate.

Maintaining Weight Loss Long-Term

While the gastric sleeve provides a powerful tool to jumpstart weight loss, maintenance depends on lifestyle choices. Here are some tips for keeping the weight off long-term:

• Eat small, frequent protein-rich meals
• Choose fruits, vegetables, and whole grains
• Measure portion sizes
• Stay hydrated
• Exercise at least 30-60 minutes daily
• Get enough sleep and manage stress
• Join a support group
• Stick closely to follow-up care
• Consider therapy if emotional issues come up

Be Patient With Your Body

It can be disheartening if the scale creeps up shortly after bariatric surgery when you expected to see a number drop. But try not to get too discouraged. Focus on establishing healthy habits, sticking to your doctors advice, and being patient through ups and downs. Over time your hard work will pay off with substantial and lasting weight reduction.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.