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5+ Years Post-Op Gastric Sleeve - This Is My Story!

 Hi Everyone! My name is Kimberly and I am 5.5 years post-op gastric sleeve surgery. I have experienced a lot over the last few years and I am excited to share my thoughts with you in hopes that it will help you prepare for your surgery. I figured the best place to start would be to tell you more about me and my weight loss surgery journey.

I decided to have weight loss surgery when I was 24. I had been overweight my entire life and it finally got to a point where I couldn’t handle it anymore. At my highest, I weighed 360 pounds. I had been diagnosed with Pseudotumor Cerebri which meant that I was producing too much cerebral spinal fluid and it was pushing against my optic nerves. I had terrible headaches and often times had to stay in bed because of the pain. I almost had to have a shunt put in and the disease would have eventually caused me to go blind if it wasn’t taken care of. My doctor explained that this disease was weight related and would more than likely go into remission if I lost weight. I had never been diagnosed with any weight related diseases. This was my wakeup call. I had my whole life ahead of me and knew that I had to make some changes.

My pre-op journey went pretty well. I went to all of the necessary doctors and stayed on top of everything so I could have the surgery as soon as possible. I started documenting my journey because I wanted to be able to look back on it years later. It was an exciting time and I was so ready for my new life. The surgery day came and I can still remember how nervous I was. This was the first surgery that I considered “elective” so I was very anxious going into it. Looking back now, I don’t consider it elective anymore. I was going to die if I did not lose the weight.

I was very successful the first year after surgery. I was dropping weight fast and felt on top of the world. It took a while to get into a new routine, but I finally felt like I was on the right path. At 1 year post op, I found out I was pregnant. This was very exciting news because I never thought I would be able to have a baby since my weight was always holding me back. A lot of people wondered if that set me back, but surprisingly I was at my lowest weight when I was pregnant. I had gotten down to 199. The beautiful onederland as we like to call it. I had a healthy baby boy and continued on my weight loss journey after I had him. I lost a total of 160 pounds!

For a couple years post-op, I stayed on top of working out and eating healthy. However, there came a time when I started letting things back into my diet that I shouldn’t have. I was really sick during my pregnancy so I drank ginger ale. Putting soda back into my diet was the first mistake of many. As the years went on, I slowly started gaining weight back. I started eating unhealthy foods again and told myself it was okay since I was just having “a little bit” That was always my excuse. I told myself that I could have anything I wanted because I would only be eating a small amount of it. Well, that didn’t work. The farther out I got, the easier it was for me to eat larger portions. I ended up gaining 60 pounds back. I was devastated and felt like the surgery was a waste.

At this time, I had been documenting my life on YouTube for a few years. I received so much support from the community and I knew I could lose the weight I regained. Unfortunately, regain is something many people deal with after surgery. I am now on the path of losing the weight I regained. I’ve already lost almost 20 pounds of that. I will continue to fight this fight to get where I want to be. This surgery is not a fix all. It is a tool that you need to use appropriately. If you take it for granted, you will lose control and start regaining. So much of this journey is the mental side of it all. I don’t think I prepared myself enough for how difficult this would be emotionally. I craved food, even though I wasn’t hungry. My food addiction definitely came out through this process.

Even though I have made mistakes, I have come really far. I have learned a lot from this journey and I find comfort knowing we have such an amazing support group through the bariatric community. I am excited to bring you all along with me to share both the exciting and the difficult times that we experience as bariatric patients. Together, we can achieve our goals. We got this!

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Gastric Sleeve Recovery: The Ultimate Guide

If you are planning to have the gastric sleeve procedure or have recently had the gastric sleeve procedure, then check out this article for a quick overview of recovery. This article will give you an overview of the recovery process and give you some tips on what to do in the first couple of months following surgery to enhance your recovery.

One of the most important parts of a good recovery is preparation and education. Make sure to meet with your surgeon and team of bariatric health professionals prior to surgery to go over what this process will look like for you. One reason this is important is that not everyone’s recovery will look the exact same.

Your team of bariatric health professionals will be able to further educate you on what you should expect and if there are any modifications that you might need to make to the standard recovery process.

It is also very important to note that most of your recovery process will likely take place in your home. So, it is important to prepare your home to suit your needs during recovery. One way to do this is to ask yourself questions like; do I have stairs in your house? Do I need to go up the stairs to go to bed? And can I easily access your bathroom?

Asking yourself questions like these in advance will help you identify any potential barriers to recovery that might be in your home. Once any potential barriers are identified, work to develop a plan to help you have the most comfortable recovery at home possible.

Don’t hesitate to ask your bariatric team any questions that you might have as you prepare for surgery.

The journey to recovery!

Before we get into a weekly outline of recovery, here are some quick tips for recovery from the gastric sleeve!

• Schedule and attend both pre-and post-op appointments
• Prepare your home or recovery space prior to surgery
• Walk around early and as often as you can
• Consume lots of fluids between meals not during mealtimes or within one hour following meals
• Follow each phase of the 4-phase diet
• Don’t be afraid to ask for support from a therapist or support group

The first few weeks following surgery can be a mix of emotions. On one hand you will likely feel relieved to know that you made it through surgery safely and excited to start the journey. On the other hand the aches and pains become reality and the road to recovery might feel like a large mountain to climb. Just know that it’s totally normal to have mixed emotions during your recovery process.

Recovery can be exhausting and challenging. It is important that you do not let negative feelings get in the way of your recovery. Be sure to take a step back, look at the big picture, and celebrate the small victories throughout your entire recovery process.

A timeline for recovery

The first week of your bariatric journey is a very important step in your recovery process and setting good habits early can help promote long-term success.

Hospital stay

There are many enhanced recovery practices that can help you to optimize your recovery and a lot of them will likely be implemented during your hospital stay. They include:

• Walking and moving around with guidance from a physical therapist
• Drinking a full liquid diet

Pain management

• IV fluids for hydration alongside oral fluid intake
• An extra session with a dietitian prior to discharge from the hospital

To be discharged from the hospital you must be free from complications, not require IV medications or fluids, and be able to tolerate oral diet and fluid intake.

Phase 1 – Liquid protein diet

Key points of the Liquid protein diet:

• Consume 64 oz per day
• Get adequate protein.
• Begin powder multivitamins

Make sure to consume a variety of liquids for nutrient density and electrolyte balance. Consuming excessive amounts of only water can cause electrolyte imbalances so be sure to incorporate some fluids containing electrolytes into your liquid diet.

Protein intake can be challenging when you are in the first few phases of the 4-phase diet. Incorporating protein supplements at each stage can help you to reach your protein goals. In general, women should try to consume 60g of protein or more and men should try to consume about 75g or more.

Wound healing

Your surgical incisions will still be tender and sensitive. It is important to take good care of your surgical incisions to prevent infection and promote healing.

Wash incisions with soap and water gently. Do not scrub or soak. Pat dry with a clean towel or let air dry. Cover the incision with sterile bandages/wound dressing when necessary.

In the hospital, immediately following surgery, you will likely be on intravenous (IV) pain medications. Before being sent home from the hospital the IV will be removed and you will be put on prescription and/or over-the-counter pain medication for pain management at home.

Physical activity

Your level of physical activity should gradually increase over the first week. The first day after surgery you should focus on simple movements while lying in bed. These movements include deep breathing and simple leg movements. Once you know you can accomplish these simple movements you may try to sit on the side of the bed and potentially stand up.

The second day following surgery is when you are likely going to be approved and able to start walking. Walking is very important. Getting up and walking early is an indicator of good long-term outcomes. Sitting, standing, and walking should be done slowly and with the assistance of a physical therapist while in the hospital.

Day 1- Simple movements and breathing exercises as soon as possible following surgery. Sit up, hang your feet off the bed and stand Day 2 – walking Day 5 – Start light physical activity (lift no more than 10 lbs./4.5 kg) Start taking showers or baths (no hot tub or jacuzzi)

A lot of change will happen between week 2 and week 4 of recovery. Your diet will advance from liquid to pureed and your physical activity will increase allowing you to do more day-to-day tasks. Weight-loss should also begin to appear within the first week or two following surgery.

This time can be both challenging and motivating. You will likely have to challenge yourself to participate in the appropriate amount of physical activity and to follow a strict diet. On the bright side, the first signs of weight loss can often be a strong motivator to keep pushing.

Begin to transition from phase 1 to phase 2 of the 4-phase diet Phase 1 – Liquid protein diet Phase 2 – Pureed food diet

Key points of the phase 2 pureed diet:

• Pureed foods help to keep your stomach pouch safe and allow it to heal
• You can begin to incorporate real foods into your diet (yay!)
• Continue to focus on getting adequate protein intake
• Take a multivitamin

As your diet advances, be sure to monitor for signs or symptoms of dumping syndrome . Adjusting your diet and lifestyle can help to improve digestion and reduce side effects.

Incisions should be completely healed after about 2 weeks. Once your incisions are completely healed and closed try to apply lotion frequently to help minimize scarring. If the incision site will be exposed to the sun, make sure to apply sunscreen as this will also help to reduce scarring.

You will likely be able to stop taking prescription pain medication after the first week. You may still experience some pain and discomfort after this time, but it can likely be managed by over-the-counter medicine. Most pain should subside after the 2nd or 3rd-week post-op and you likely will not need pain medication of any kind at that point.

If you are no longer taking prescription pain medicine, you will likely be able to begin driving after the first week. Depending on your job you will also likely be able to return to work in the 2–4-week period.

Full recovery takes on average 4-6 weeks barring any complications. This means that your life will begin to look more and more normal during this time period.

The transition from phase 2 to phase 3 Phase 2 – Pureed food diet Phase 3 – Soft food diet

On the soft food diet, you will begin to incorporate fruits and non-starchy vegetables into your diet, and you will be able to slightly increase your meal size. Protein supplementation is recommended between meals to help you meet your protein goals.

You should be able to return to most daily activities and some additional exercise, potentially including some heavy lifting. Be sure to talk to your doctor before trying any activity that is very strenuous and/or requires lifting a lot of heavyweights. You will likely need to wait until 6-8 weeks post-op before doing this type of physical activity.

After about 6 weeks your life and activity should look pretty normal. You should be approved to do moderate to heavy lifting and most physical activity at this point. You will also transition to what we call the stabilization diet. This diet is the one you should follow long-term.

The transition from phase 3 to phase 4 Phase 3 – Soft food diet Phase 4 – Stabilization diet

The stabilization diet will consist of almost all foods including solid foods. Solid foods may need to be reintroduced slowly to allow your body some additional time to tolerate them. Be sure to continue to monitor portion sizes and focus on healthy food consumption.

Your staple line should heal after 6-8 weeks which allows you to incorporate solid foods back into your diet. Although your staple line/gastric pouch is healed, you need to monitor your portion sizes as the gastric pouch can stretch out and can lead to unwanted weight gain .

That a wrap on recovery

Remember these are just general guidelines for recovery. It is so important for you to consult with your bariatric surgeon to see if there are any specific modifications you need to make in your recovery process.

Everyone’s recovery will look different. Do not focus on comparing yourself to others, focus on the daily victories and take the recovery process one step at a time. If you experience severe complications or side effects, be sure to communicate with your team of bariatric health professionals so they can help you to overcome those challenges and get back on track!

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Goal Setting in Your Gastric Sleeve Surgery Journey

Written by Guillermo Alvarez on Feb. 3, 2021 in Gastric sleeve

One of the most exciting things about vertical sleeve gastrectomy is the idea of creating weight loss goals that, perhaps for the first time, you feel confident you can achieve. Most of my patients set goals because it can be motivational to keep your eyes on a target as you navigate the normal ups and downs that accompany life after gastric sleeve in Mexico. The key is setting goals that are helpful, rather than harmful, to your overall success. So what does a “good” goal look like?   Make it personal. Don’t base your objectives off of others’ goals, and don’t try to “keep up” with a sleeve sibling, spouse, or friend who’s had the same procedure (maybe even on the same day). Goals can be a number or size, non-scale victory, experience, fitness stage, reduction in medication, etc. What’s important isn’t the type of goal; it’s that the milestone is important to you. What keeps Daymona going is her goal of ditching her wide-calf boots for “regular” boots. For Britni, it was fitting into non-plus-size Lululemon pants (which she achieved just two months after VSG). That brings me to the second part of this tip: your personal goals will probably change as your journey progresses. Your first goal may be to run a mile, for example, which then evolves to a goal of running a 5K as you become more fit.   Make it manageable. A “go big or go home” approach can be beneficial in some aspects of your life, but when it comes to long-term, sustainable weight loss goals, this mindset can set you up for failure—especially in the short run. If your goal is to drop 10 dress sizes by your daughter’s wedding in six weeks, you’re probably going to be disappointed. And disappointment can be a trigger for bad habits along the lines of, “If I’m not wearing the size I want, I might as well have a second slice of cake.” Putting a timeline on a goal is a gamble, but if you do, make sure it’s a manageable goal. Dropping two dress sizes is more realistic and it leaves room to exceed your goal, which is always thrilling.   Make it measurable. Some goals are easy to measure. If you’re going for a certain number, well, either you get there or you don’t. A “measurability” factor is important for every goal because it provides clarity as you progress toward it and gives you a benchmark for when/if you achieve it.  If your goal is to “drink more water,” what does that really mean? Instead, think in terms of concrete items you can check off. Drink 72 ounces of water. Exercise 30 minutes, five days a week. Eat 20 grams of protein at breakfast. Record every bite this week. You get the idea!   Make it sustainable. VSG isn’t a short-term fix or a magic pill; it’s a way of life. So when you’re thinking about goals, consider things you can maintain for a lifetime. A goal of exercising for two hour a day is admirable, but is that something you can truly sustain? Or will you feel like a failure when you can “only” fit in an hour-long workout some days? Similarly, some patients have a weight or pants/dress size in mind simply because they like the idea of that number. But if 130 pounds falls into the underweight category on the BMI scale, what are the chances you’ll be able to stay there forever? And is it even safe? One caveat to the sustainability rule is a “back on track” plan (the pouch reset comes to mind) that helps VSG patients regain control over their eating habits and weight. These fairly restrictive plans aren’t meant to be your long-term gastric sleeve diet. They’re meant to be a hard reset for your habits while boosting your motivation as you watch the scale move in the right direction.   Lastly, whatever your VSG goal, don’t skip the best part: celebrating when you achieve it! 

I invite you to follow us on all our social networks, we are on Facebook (Endobariatric), Instagram (@endobariatric), we also have our YouTube channel where where I (Dr. Alvarez) answer frequently asked questions that are sent to me, subscribe to it! we talk about very interesting subjects, find us searching for Endobariatric.

If you want a more personalized experience and you have Instagram, follow me (Dr. Alvarez) to see my day both in my daily routine and in the operating room, add me! We will have a great time! My username is: gmoalvarez.

“Changing lives…one sleeve at a time”.

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The Patient’s Perspective: A ...

The Patient’s Perspective: A Journey with Gastric Sleeve Surgery

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Today begins our blog series, “ The Patient ’s Perspective ” , which takes you on the journey from choosing a bariatric surgery , and undergoing the procedure, to learning what life is like afterward. This week we’re talking about gastric sleeve surgery  .

While it sounds counterintuitive, weight loss surgery isn’t just about losing weight. It’s about taking necessary steps to be your happiest, healthiest you .

In fact, gastric sleeve surgery is a procedure that does not inhibit your ability to absorb nutrients from food, meaning you won’t have to add a lot of supplement pills to your diet. This is one of the best features of this specific bariatric procedure.

Our team at Olde Del Mar Surgical has an excellent success rate with initial bariatric surgeries, and they are also highly skilled in the laparoscopic techniques used for weight loss surgery revision and conversion.

Choosing Gastric Sleeve Surgery

After a consultation with your doctor, you may decide that the gastric sleeve  (also called a “sleeve gastrectomy”) is right for you. A number of factors can guide this choice, such as:

• No required follow-ups for adjustments
• Less likelihood of needing vitamin supplements
• Fewer food restrictions
• Requires no foreign objects to remain inside your body
• 1–2 day hospital stay
• 2–4 week total recovery period (on average)

It is important to note that this restrictive weight loss procedure cannot be reversed . While it does not require any device to be permanently inserted into your body, the gastric sleeve procedure detaches and removes approximately 85 percent of your existing stomach.

The remaining sleeve (often described as the shape and size of a small banana) is securely shut with staples and other dissolvable closures. This reduced capacity means you’ll eat much less immediately, supporting your weight-loss efforts.

Knowing Your Financial Options

One of the biggest hurdles to gastric sleeve surgery, and other bariatric procedures, is wondering how to pay for it . Deciding to pursue weight loss surgery only to learn that insurance won’t cover it can be so frustrating. With or without coverage, you have options to ensure that you can afford weight loss surgery .

Dealing with Gastric Sleeve Surgery: Before, During and After

Before scheduling your procedure, you’re required to take a number of pre-op tests to ensure your body is healthy enough to undergo and recover from bariatric surgery. These include blood pressure and sugar tests, an electrocardiogram (EKG), a cardiac stress test, and a check for the presence of ulcer-causing bacteria.

The gastric sleeve is an invasive procedure performed on the stomach which lies in the core of your abdomen. Because it is often obscured by the liver, you’ll begin a liquids-only “Liver Shrinking Diet” between five and 10 days prior to your procedure.

During this pre-op diet, it is crucial to get at least 60 grams of protein per day while being cautious to minimize any liquids high in sugar and fat.

All gastric sleeve procedures performed at Olde Del Mar Surgical are laparoscopic — meaning five to six small incisions will be made strategically around your abdomen. Dr. Sunil Bhoyrul will then insert a laparoscope (thin viewing tube with a small camera attached) and other tiny instruments into these small incisions to remove and secure parts of the stomach.

A typical laparoscopic sleeve gastrectomy with no complications takes about 90 minutes. You’re under general anesthesia for the entire process.

During your hospital stay, your bariatric team will monitor pain medications and make you as comfortable as possible. They’ll also insist that you get out of bed for short walks to ease stiffness and soreness, as well as prevent any post-op complications from too much bed rest.

Check out our tips:  7 Tips For a Comfortable Bariatric Surgery Recovery

While recovering at home, you’ll stick to liquids for two weeks. A pureed food regimen is required for the next two weeks, followed by soft foods for another two weeks. By week six you’re ready for regular foods, having adjusted your portions and choices for your new stomach capacity. Nearly all gastric sleeve patients return to pre-surgery levels of activity within six weeks and some return to work as soon as one week after.

Living with Gastric Sleeve

After your recovery period, you’ll find that you’re losing weight — likely faster than ever before. This is exciting and motivating, and it can also bring new challenges. “How can I be creative with meals ?”, “How do I shop for my evolving shape?”, “How do I get rid of this excess skin?”, and “How do I stop seeing my old body in the mirror?” are just a few of the questions you might face.

Making a major life change, like bariatric surgery, requires tons of support emotionally and in daily decision-making. At Olde Del Mar Surgical, we provide numerous resources including patient mentoring  , nutritional support , and a catalogue of patient stories .

Taking The First Step

You know your body and you know you’re ready for a change. To schedule your consultation , reach out to Olde Del Mar Surgical’s team for a consultation. We are happy to provide more information about the gastric sleeve surgery and other medical weight loss procedures .

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Gastric Sleeve Success Stories: Before & After

Gastric Sleeve in Mexico Before and After: Surgery Success Stories

Gastric Sleeve Before and After Photos

"All I can say is thank you for giving me my life back.  When I called and scheduled my appointment I was 315 lb, I started then watching what I ate.  When I had the surgery I was 295 lb.  I now weigh 180 lb.  I never thought I would ever be down under 300 lb again in my life. 

I sleep much better, I have more energy, and can walk upstairs without getting winded.  All I can say is if anybody wants to have this surgery just do it.  I can't say enough about how well I was treated at the clinic.  The nurses was nice and they took very good care of me. 

If I had it all to do over again I would do it again in a heartbeat.  I had the best care I've ever had anywhere.  Again thank you so much for everything."

Hi Dr. Pérez!! Starting weight: 384 Current weight: 211 Goal weight: 195 Since surgery, I have been allotted a new opportunity for a NEW LIFE! I am living the life of my dreams.

Felicia Wilcox

My starting weight was 225. My current weight is 118. My biggest accomplishment is gaining my confidence back and being able to venture out and open my own boutique, Modern Moon Boutique &

Decor in Rincon, GA!

Please find attached both my before and after photos.

Thank you for this opportunity,

Diana White

Yes, Absolutely!!!

Starting weight - 195 Current weight - 143 Goal weight - 130 Surgery date - 6-19-2020

There are many achievements that I can list but I will keep it to the ones that are most important to me.

1) I have achieved the love of working out again. I had reached the point of feeling defeated even though I would frequently workout out but my energy level and endurance had hit rock bottom and I felt as if I was just spinning my wheels and not getting a

2) I’ve been able to regain self love again. This in my opinion is one of the most important things to be successful after VSG surgery. I was at the point that I didn’t like what I saw in the mirror and I would do whatever it took to avoid looking at myself. If I d

3) Last but not least I have been able to achieve the ability to recognize when I’m full and making better food choices. Having the restriction in my belly and knowing what to do to keep it is key to my success. Thank you to all the Renew team for the care and for giving me my life back!! Sent from my iPhone

Kimberly Cline

As I was staring at turning 60, and felt physically broken, depressed; nothing seemed to work, and I just couldn’t make any kind of progress. I’mnot a religious person, but I said God, if I am going to be around for a while, it has to be in a different body…so show me the way. In no time afriend shared her experience with Renew . It was something I had never seriously considered, but I couldn’t get it out of my head. I went online,filled out the information to see if I would even be a good candidate. Almost instantly my patient advocate Roni reached out. I knew my schedulehad a short window to make this happen before my birthday, and so again I trusted. If this is meant to me, then please God make it easy—andboy was it! The guidance and support I received before, during, and after the surgery were second to none. I am so grateful for getting my lifeback. I have energy and want to soak up every drop I have left—it feels great to be alive!

I Now Have the Chance to Work on Everything I’ve Always Wanted

Christina is a 39-year-old mother of four who underwent gastric sleeve surgery in June 2018. Since then, she has lost 128lbs. Christina confesses that at least she now has the energy to keep up with her bubbly kids. She also has the energy to chase after her life-long dreams.

A great lesson to pick from her story is how she ditched insurance cover for a better medical cover offered by the surgery center. It took her six years to even get close to getting insurance coverage for the procedure. The surgery center processed it in months.

More Gastric Sleeve in Mexico Reviews

Before and After Photos

Gastric Sleeve Photos

Witnessing the dramatic transformations in our gastric sleeve before and after gallery, Renew Bariatrics stands as a beacon of hope for those seeking a life-altering weight loss journey. Our dedicated surgeons are well-versed in the nuances of bariatric surgery, offering personalized care plans to ensure the best gastric sleeve surgery before and after outcomes for each unique patient.

At Renew Bariatrics, we pride ourselves on the success stories of our patients, reflected in the compelling gastric sleeve before and after narratives. Our quick candidate form streamlines the process, ensuring that you are fast-tracked to meeting with our qualified surgeons, who are committed to delivering the most satisfactory gastric sleeve surgery before and after results.

Am I Ready for Gastric Sleeve in Mexico

Start your weight loss journey today. Our process makes getting started easy as 1-2-3.

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Find a Surgery Center or Surgeon Where You’ll Get the Best results

Explore the transformational gastric sleeve before and after results, and see the remarkable changes from gastric sleeve surgery before and after the procedure.

Discover the remarkable gastric sleeve before and after transformations at Renew Bariatrics. Each gastric sleeve surgery before and after photo is a testament to the life-changing impact the surgery has on our patients, inspiring new candidates to embark on their weight loss journey with confidence

To achieve such kind of success and have such heart-warming success stories is strongly tied to the surgeon or surgery center you’ll get the gastric sleeve surgery done. Find a surgery center or surgeon who is highly qualified to get the most out of your money, time, and commitment.

Also, make sure they offer you a quick candidate form to judge your candidacy faster so you can have the procedure sooner and reap the benefits earlier.

Hi Beau, Yes, I would absolutely love this opportunity!! My starting weight was 225. My current weight is 118. My

Yes, Absolutely!!! Starting weight – 195Current weight – 143Goal weight – 130Surgery date – 6-19-2020 There are many achievements that

Shelbi Turner

Would you be willing to share your Story? Yes! Starting weight-320lbs Current weight- 155lbs Goal weight- 180lbs

“All I can say is thank you for giving me my life back.  When I called and scheduled my appointment

Hi Dr. Pérez!!Starting weight: 384Current weight: 211Goal weight: 195Since surgery, I have been allotted a new opportunity for a NEW

Emily Deshar

My journey has been amazing, not necessarily easy, but has got me on the right path for my health. Before

FAQs on Gastric Sleeve Success Stories

We poll our patients after gastric sleeve surgery, typically one year. Most of these photos are over one year, or longer after surgery.

The amount of weight will typically depend on several factors including your starting BMI and weight, among others. Your weight loss will be entirely depending on your lifestyle after gastric sleeve surgery.

The success rate of gastric sleeve is typically 80-90% of patients, dependent on various factors. 

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Individual results are not guaranteed and may vary, please refer to our disclaimer page. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. 

Success Stories

Yes, I would absolutely love this opportunity!!

Starting weight – 195 Current weight – 143 Goal weight – 130 Surgery date – 6-19-2020

Would you be willing to share your Story?

Starting weight-320lbs

Current weight- 155lbs

Goal weight- 180lbs

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What Does Living With A Gastric Sleeve Really Look Like?

You’re considering gastric sleeve surgery, but you have some questions about living with a gastric sleeve. Which medications and supplements will you need to take, and for how long after surgery? If you’re a woman, will you need to be on birth control after surgery? How will your lifestyle change? How will your diet change, and how often will you need to exercise in order to maintain consistent weight loss?

Let’s walk through these questions together.

What Medications and Supplements Will I Need to Be On?

As your body changes post-surgery, you will need to take several medications and supplements. These include:

– Omeprazole, which reduces your risk of acid reflux. Many patients only take this medication for three months after surgery, but some patients (especially those with acid reflux going into surgery) may have to take it indefinitely.

– Ursodiol, which reduces your risk of developing gallstones. You should expect to take Ursodiol for twelve months after surgery if your gallbladder was not previously removed.

– Bariatric multi-vitamin. Expect to take this every day after surgery to reduce your risk of vitamin and nutrient deficiencies.

– Calcium with Vitamin D supplement. Expect to take this twice daily after surgery.

Will I Need to Be On Birth Control?

We highly recommend that you use effective birth control for the first 18 months after gastric sleeve surgery. The reason is that, for the first year after surgery, changes to your anatomy and your nutrition are already putting a substantial load on your body. A pregnancy in the first year could potentially be harmful to you and for the baby. Additionally, pregnancy at this time can interrupt your anticipated weight loss.

After 18 months, pregnancy is safer and in many cases can actually be healthier for both the baby and mother than it would have been before the weight loss.

How Will My Lifestyle Change After Gastric Sleeve Surgery?

After gastric sleeve surgery, you’ll want to take a couple of weeks off of work, but most patients do recover fairly quickly. Most patients are able to return to work about 2 weeks after surgery. Within 5-6 weeks, energy levels have usually returned to pre-operative levels.

After 2-3 months, you’ll probably have more energy than you did before surgery. Obesity is a brutal disease; the combination of direct health problems, and physical pain (especially on joints), can make it very hard to work. After surgery, as you continue to lose weight and keep it off, and as your diet and exercise improves, you’ll find that you have more energy and less pain than you have had for many years.

Will I Ever Eat Normally Again After A Gastric Sleeve?

It’s important to note that your diet will need to change substantially after surgery. The reason is that weight loss surgery is a powerful obesity treatment, but it’s not a magic cure. In order to lose the weight and keep it off, you’ll need to adopt a strict diet for the rest of your life. This diet is generally higher-protein and lower in processed foods, and consists of smaller meals than what you could consume before weight loss surgery. Our bariatric dietitian can offer nutritional guidance and help you craft a post-surgery diet that’s right for you. 

Will I Need to Exercise After Surgery?

After surgery it is very important that you adopt a regular exercise regimen in order to have your best chance to lose weight and keep it off. You should engage in strength training and cardio. Our bariatric team can work with you to develop the right exercise regimen for your body and your weight loss goals.

How Often Will I Need to Follow Up After Surgery?

After surgery, you’ll need to follow up with our office on a consistent basis. We ask patients to return for a post-operative visit with your surgeon two weeks after surgery. We also ask that you schedule a visit with the team at 6 weeks, 3 months, 6 months, one year, and annually thereafter.

One of the challenges that some bariatric surgery patients face is maintaining motivation for diet and exercise after surgery. Weight loss is a marathon, not a sprint; and it can be difficult at times along the journey not to feel unmotivated or stuck. Coming in for your post-op visits can help with this. We also offer regular support groups, which can be a great way to stay motivated and help you reach your weight loss goals.

Taking the Next Step On Your Weight Loss Journey

If you’re ready to take the next step on your weight loss journey, we  encourage you to schedule a bariatric assessment with us or learn more about our unique approach to bariatric care .

Our patients routinely say that surgery was the best decision they ever made.

“I feel like I have won the lottery and have been given a second chance in life! March 25, 2014 was the first day of the rest of my new life and I can’t even start to express in words how grateful I am.”—Rochelle Goforth, patient.

See more gastric sleeve before and after stories (and pictures).

If you’re suffering, don’t wait. Contact our Denver office today .

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Blog Archive   /   Setting Realistic Weight Loss Goals

This page was medically reviewed by Dr. Joshua Long, MD, MBA, FACS, FASMBS. Dr. Long is a double-board-certified bariatric surgeon and bariatric medical director for Parker Adventist Hospital. Full Bio: Dr. Joshua Long, MD, MBA, FACS, FASMBS Page Updated: September 14th, 2023

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Skilled Surgeon’s Guide to Gastric Sleeve Recovery

If you’re looking for a guide to gastric sleeve recovery, look no further! As a weight loss surgeon with over 20 years of experience and Medical Director of JourneyLite in Cincinnati, Ohio, I have performed thousands of gastric sleeves over my career. In this article, I’ll walk you through a gastric sleeve recovery timeline and answer FAQs.

Gastric Sleeve Surgery Recovery Timeline

It usually takes about a month after a gastric sleeve before a patient is back to a totally normal schedule and solid food. However, most people are about 90% there at the two-week mark . Of course, there will be some discomfort at your incisions right after surgery, and sometimes some nausea and/or vomiting at first. But, given the tremendous improvement in quality of life and weight-related medical issues after a VSG, this is a small price to pay when you look at your long-term outcome.

Browse the overview of the recovery timeline below. Then read on for a detailed breakdown of what your recovery might look like after a VSG.

Immediate Post-Surgery (Day 1)

• Surgery typically lasts less than an hour under general anesthesia.
• Patients are encouraged to walk within an hour after the procedure.
• Discharge may occur approximately 4 hours after surgery completion, depending on the patient’s recovery and location. Overnight stay may be required for those living more than an hour away.

Pain Management and Medications (First Few Days)

• Prescriptions prepared in advance, except for pain medication, which is provided on the surgery day.
• Pain and nausea medications are administered, with some being preemptive.
• Limited to clear liquid diet (water, broth, unsweetened/diluted juice, clear protein shakes, low-calorie sports drinks).
• Light walking around the house encouraged; avoid strenuous activities.
• Lifting limited to 10 pounds maximum.
• Transition to pureed foods.
• Increase physical activity gently; lifting limit increases to 20 pounds.
• Return to desk jobs or work from home may be possible.
• Continue with pureed food diet.
• Gradual increase in physical activity; lifting limits increase to 30 pounds in week 3 and 40 pounds in week 4.
• Those with physical jobs may begin returning to work.

Week 5 and Beyond

• Advance to soft solid food; the staple line should be nearly fully healed.
• No restrictions on lifting; full lifting allowed.
• Cardio exercises can be intensified; no restrictions on cardio after week 4.
• Regular exercise recommended (aim for 4 days a week, with a minimum of 30 minutes per session).

Want more information? Check out this guide to the pros and cons of gastric sleeve surgery .

Post-Surgery Gastric Sleeve Recovery : Day 1

At JourneyLite, A VSG usually takes less than an hour and is done under general anesthesia. When the procedure is complete, our anesthesia team will slowly awaken you and move you over into recovery where you will be met by specialized PACU nurses. At first you will remain in your bed until our skilled nursing staff makes sure that your vitals are stable, and your pain is controlled.

At this point, usually we can have you family come back and sit with you until you are discharged. We will likely have you up and walking within an hour of your procedure, and most patients are ready for discharge after a minimum of four hours from your procedure completion time. If you are local you will be able to go home. If you live more than an hour from the center, we will keep you overnight (at least one night) at the nearby Wingate Inn . If a hotel stay is necessary, JourneyLite will make the room reservation automatically, and cover the cost of the room!

Pain Management and Medications : First Few Days

Our experience at JourneyLite has enabled us to develop pathways to minimize issues after surgery! We will have you fully prepared coming in to your procedure so that you can have all of your prescriptions (except for pain medication) filled and ready to go prior to your surgery date. Board of Pharmacy rules prevent us from sending pain scripts in advance, so if you are local, we will send it on the day of surgery to your regular pharmacy.

If you are an out-of-town patient, there is a Walgreen’s conveniently located right across the street from the center and we can send your script there . Don’t worry, we give you plenty of powerful nausea medications including one that can even be taken prior to your procedure so that it can be in your system already when anesthesia is administered.

At-Home VSG Surgery Recovery Timeline : Weeks 1-4

Once you’re at home, you will be able to be up and about, and taking care of yourself for the most part. As with any general anesthetic procedure, we do require that a responsible adult stay with you for the first 24 hours after surgery. You can walk as much as you want right away, and you can go up and down steps immediately. We don’t want you doing any driving, however, until you are completely off of your pain and nausea medications, as these can slow your reaction time. For most patients this is around 3-5 days after surgery.

If you have a desk job (or work from home), you can be back to work in as little as 1-2 weeks.  If you have a physical job, it will be more along the lines of 3-4 weeks. This will all be clarified prior to surgery, and we will complete any necessary paperwork for your time off in advance so that you won’t get any grief from your employer!

Gastric Sleeve Recovery-Diet

We advance your diet along slowly after a gastric sleeve. We want to protect the newly-formed staple line and not put any major stress on it until it has had time to heal. For the first week, patients will remain on a clear liquid diet . This is mainly things such as:

• Unsweetened or diluted juice
• Clear protein shakes
• Low-calorie sports drinks
• Sugar-free gelatin

As long as you are tolerating clears, you will advance to pureed foods starting in week two. You will remain on the pureed stage for the next 3 weeks, and then you will advance to soft solid food after the 4th week. By this time, your staple line should be 99% healed! If at any time you have issues with any particular diet phase, our team of licensed, registered dietitians are here to help. In the long term, we want you focusing on solid food that is high in protein and low in carbohydrates. Don’t stress about it though, as you will have numerous virtual visits with our dietary team after surgery to keep you on track!

Physical Activity During VSG Recovery

For the first couple of days after going home we recommend just walking around the house as much as you feel like. If the weather is nice and you feel up to it, a short walk outside is even fine. Walking as important for your gastric sleeve recovery because it reduces the risk of complications such as blood clots and other lung issues.

As far as lifting, we limit it as follows:

• Week 1: 10 pounds maximum
• Week 2: 20 pounds maximum
• Week 3: 30 pounds maximum
• Week 4: 40 pounds maximum
• Week 5+: Full lifting allowed

As far as cardio, you can start some very light exercise after the first week. Walking slowly on a treadmill or doing the elliptical with minimal resistance are good places to start. Then you can slowly increase the intensity and duration of your exercise over the next few weeks. After week four, there are no restrictions on cardio.  We want you to aim for a goal of 4 days a week (with a minimum of 30 minutes per session) of exercise where you spend a decent amount of time in your target heart rate zone . A FitBit, Apple Watch, or some sort of tracker is highly recommended and can be very useful to track your progress.

We recognize that some patients have minimal exercise tolerance immediately after surgery and are unable to meet these goals at first. We just need you to start somewhere, and then as the weight comes off and your body hurts less, you will be able to do more and more. I have had a few patients who could barely walk after surgery who have sent me pictures of them at the finish line of a marathon, so the sky is the limit!

How Does Gastric Sleeve Recovery Compare to Gastric Bypass

For the most part things are fairly similar in terms of recovery after gastric sleeve and gastric bypass. I provide an in-depth comparison of gastric sleeve vs gastric bypass in this article.  But you can see an overview below.

Differences include:

• Slightly longer procedure time (around 2 hours)
• Overnight stay at JourneyLite (then a possible overnight stay at the Wingate Inn for out-of-town patients)
• Slightly more incisional pain than for gastric sleeve
• Somewhat slower return to work, although same overall timeline
• Must avoid NSAID’s and steroids permanently after gastric bypass (as compared to only for the first 4 weeks for gastric sleeve)

Weight Loss Timeline After Gastric Sleeve Surgery

How long will it take to get down to my goal weight.

Weight loss is achievable at any point in time after a gastric sleeve, but 90% of the time it stops at around the 12-month mark. In the first few months the weight may seem to fall off magically! Starting at around post-op month 6 things tend to slow down. So you have to make sure in the first 6 months you are working hard to develop the right eating and exercise habits, so that when you hit month 6 the scale keeps moving for you.

How much weight will I lose each month after surgery?

This varies a lot depending on the patients starting BMI and other factors. For example, if a patient weighs 500 pounds and has a BMI of 70, a 50 pound weight loss may be achievable in month one! On the other hand, a patient who was 200 pounds and has a 35 BMI may only lose 10 pounds during the same time period. The important thing to realize is that this is not a sprint, it’s more of a marathon. So as long as you are making steady progress and doing the right things with your diet and exercise program, you will get there eventually!

Gastric Sleeve Recovery FAQ’s

How much pain will i be in after surgery.

Pain after VSG is similar to laparoscopic gallbladder surgery, which is a familiar reference point for some patients. Most people require some prescription pain meds for 48-72 hours, and then are able to transition over to OTC Tylenol.

Will I have a lot of nausea and vomiting?

Most patients have some nausea but no vomiting. About a third of patients will have one or two vomiting episodes in the first 48 hours. A small percentage of patients will have ongoing nausea and vomiting issues that can sometimes require outpatient IV hydration therapy.

Will I be able to take care of my kids right after surgery?

The answer to this depends greatly on the age of your children. For kids who are 5 years and older, you will usually be able to tend to them beginning about 48 hours after surgery.  For children who are 0-5 years old, it’s best to have another full-time responsible adult to help you for the first week or two. Keep in mind the lifting restrictions listed above!

I don't like to take pain medications, are they required?

There are some patients who are able to take only OTC Tylenol after gastric sleeve surgery, however most will require some prescription medication for a few days. We recommend filling the prescription and having available, because if you are having significant pain and your pharmacy is closed, you may not be able to get your script filled until the next day!

I work from home, can I go back to work sooner than 1 week?

Yes, we do have some patients who start working from home sooner than 1 week. If you are off your pain and nausea medication it’s fine. However, if you are still taking these drugs they can sometimes adversely affect your decision-making ability, so we don’t recommend that.

At JourneyLite, our team has the experience and expertise to help you succeed in your gastric sleeve recovery. Just fill out a no-obligation appointment request and our team of patient service representatives will contact you to answer all your questions and get you scheduled with Dr. Curry or Dr. Augusta. We operate on patients from all across the country, so if you’re out-of-town don’t let that discourage you as virtual appointments are available, usually within a few days!

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Understanding Recovery After Gastric Sleeve Surgery: What to Expect

Gastric sleeve surgery, or sleeve gastrectomy, is a transformative weight-loss procedure with a significant impact on your lifestyle. This article delves into the nuances of the recovery process, providing detailed insights to help you navigate this journey with confidence.

What is Gastric Sleeve Surgery?

Gastric sleeve surgery involves surgically removing about 80% of the stomach, leaving a tube-like structure. This reduces the stomach’s capacity, limiting food intake and helping you feel full sooner. It also impacts the hormones related to hunger and satiety, aiding in long-term weight management. Understanding this procedure is crucial for realistic expectations about the recovery and lifestyle changes post-surgery.

Immediate Post-Surgery: The First 24 Hours

Immediately after surgery, you’ll be in a recovery room under close observation. Pain and discomfort are common, managed through prescribed medications. You’ll be encouraged to walk to prevent blood clots and promote healing. Hydration is crucial, but you’ll be restricted to sips of water or ice chips initially to allow your new stomach structure to heal.

Short-Term Recovery: The First Week

The first week is crucial for healing. You may experience fatigue, abdominal pain, and nausea, which are normal parts of the recovery. Nutrition will be limited to clear liquids, gradually transitioning to thicker liquids like broths and pureed foods. It’s essential to follow your surgeon’s dietary guidelines strictly to avoid complications and ensure proper healing.

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Dietary Adjustments and Nutrition

As your stomach heals, you’ll move through several dietary phases. Starting with clear liquids, you’ll gradually introduce pureed foods, then soft foods, and finally, regular, but healthier foods. This transition can take several weeks. A dietitian will guide you on portion sizes, nutritional balance, and meal planning to ensure you get the necessary nutrients in your reduced-calorie diet.

Long-Term Recovery: The First Year and Beyond

The first year after surgery is a period of significant weight loss and lifestyle adjustments. Regular follow-ups with your healthcare team are crucial to monitor your health, nutritional status, and weight loss progress. You’ll learn to adjust your eating habits, focusing on small, nutrient-dense meals and avoiding high-calorie, low-nutrient foods.

Physical Activity and Exercise Post-Surgery

Physical activity is an integral part of recovery and long-term weight management. Initially, you should engage in light activities like walking. Gradually, as your body heals and you gain more energy, you can incorporate more vigorous exercises. Regular physical activity not only aids in weight loss but also improves overall health.

Common Questions and Answers

• A: Pain varies but is generally manageable with medications. It should decrease significantly within a week.
• A: Most rapid weight loss occurs in the first six months post-surgery. The rate of weight loss will gradually decrease as you approach a year.
• A: While you can eventually eat most foods, portion control and healthy choices are vital for maintaining weight loss.

Emotional Well-being and Mental Health

Adjusting to your new body and lifestyle can be emotionally challenging. Feelings of anxiety or depression are not uncommon. Seeking support from mental health professionals, support groups, or therapy can be highly beneficial in navigating these emotional changes.

Complications and How to Handle Them

While gastric sleeve surgery is generally safe, like any surgery, it can have complications. These may include acid reflux, nutritional deficiencies, or issues with the surgical site. Regular check-ups and following your surgeon’s advice are critical for early detection and management of any complications.

Life After Recovery: Maintaining Your New Lifestyle

Maintaining weight loss requires a long-term commitment to a healthy lifestyle. This includes adhering to a balanced diet, regular physical activity, and ongoing mental health support. The journey is not just about losing weight but about embracing a healthier, more active lifestyle for lifelong well-being.

Conclusion: Recovery from gastric sleeve surgery is a complex and deeply personal journey. It demands commitment, patience, and a positive mindset. By understanding what lies ahead, you can prepare yourself for the changes and challenges, making the journey towards a healthier you as smooth as possible.

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Adapting Through Stagnation: Effective Strategies to Overcome Post-Gastric Sleeve Weight Loss Plateaus

Experiencing a weight loss plateau after gastric sleeve surgery can be disheartening. It’s a common phase where the scale refuses to budge, leaving many to wonder about the effectiveness of their efforts. This article aims to provide actionable strategies to overcome this challenge.

Understanding the Plateau

Typically, a gastric sleeve weight loss plateau is experienced within three to twelve months following the surgery. It’s a natural response of the body, adjusting to the rapid changes it undergoes. Recognizing this as a normal phase in your journey is crucial for maintaining motivation and focus.

Tackling the Plateau: Practical Tips

Prioritize protein.

Protein is your ally in this battle. A high-protein diet helps preserve muscle mass, which is crucial for maintaining a healthy metabolism. Opt for lean meats, nuts, beans, and low-fat dairy products. This approach is essential in breaking a stall after gastric sleeve surgery.

Muscle Building

Exercise is non-negotiable. It’s not just about losing weight—it’s about reshaping your body and health. Incorporate strength training to build muscle, which in turn helps burn more calories, even at rest.

Stay Hydrated

Hydration plays a pivotal role in metabolic processes. Aim for at least 64 ounces of water daily, but remember to time your drinking around your meals to avoid overfilling your smaller stomach.

Meal Frequency

Consider adjusting your meal schedule. Smaller, more frequent meals can prevent your body from entering a ‘hibernation state’, a common cause of bariatric surgery weight loss plateaus.

Beyond the Basics

Remember, each journey is unique. Regularly measure your progress in ways other than the scale, like body measurements or how your clothes fit. Stay connected with your dietitian and support groups for personalized advice and motivation.

Final Thoughts and Next Steps

While breaking a 3-week stall after gastric sleeve can be challenging, it’s a conquerable part of your journey. Patience, persistence, and slight adjustments to your lifestyle can reignite your weight loss journey. Overcoming a gastric sleeve weight loss plateau is not just about getting past a temporary hurdle—it’s part of a transformative process that offers numerous health and lifestyle benefits.

Take the Next Step

If you find yourself at a standstill with a weight loss plateau after gastric sleeve, know that you have a strong support system. The team at Lenox Hill Bariatric Surgery Program is committed to guiding and assisting you at every stage of your weight loss journey. For personalized guidance and to learn more about gastric sleeve in New York procedures, contact us and schedule your consultation now.

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My Gastric Sleeve Journey

Thursday, january 4, 2018, new year 2018.

Sunday, January 18, 2015

4 year surgiversary-wow, saturday, march 29, 2014, 3 year surgiversary.

Friday, August 10, 2012

I am not sure what's going on, but ever since we got back from our Chicago vacation, my appetite for cars and sweets has been out of control. I weighed 142 this morning and I would be afraid to weigh myself tomorrow considering I've been grazing on this bag of animal crackers I got at Walmart yesterday all day today. It's like I can't get fill and stay full. I may need to do some version of the Gastric bypass version of the 5-Day Pouch Test and get this under control. Scary how easily those slider foods just go right through.

Saturday, July 14, 2012

10 pounds under goal.

Sunday, April 15, 2012

15 months out.

Saturday, December 31, 2011

Wednesday, October 19, 2011

Slloowwwwinnggggg down...., endomondo cycling workout, sunday, september 4, 2011.

So a lot has happened in three years.  On January 24th, I will celebrate my Seven Year Surgiversary of having a Vertical Sleeve Gastrectomy....

10 bariatric surgery blogs you need to follow

There’s no shortage of information on the internet about weight loss surgery, but so much information can be overwhelming and often missleading. Many patients have come to us missinformed and with several missconceptions about what weight loss surgery really is, because of wrong information they have found on the web. Which can, at some point be even dangerous. For this reason I thought important to curate a list with the 10 bariatric surgery blogs (for patients) you need to follow, if you are considering Weight Loss Surgery:

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From Taupō to Turkey: NZ mum shares weight loss journey after gastric sleeve surgery

• The Hui staff
• John Boynton

The Hui catches up with Taupō mum-of-three Eva Ngāmotu one year after she underwent gastric sleeve surgery in Istanbul. Credits: The Hui

At 35 years old, Taupō mum-of-three Eva Ngāmotu was looking to make a drastic change. 

The Hui first met Ngāmotu last year, shortly before she travelled to Istanbul, Turkey for weight loss surgery. 

After forking out $8000 for flights and her operation, she underwent gastric sleeve surgery, which removed 80 percent of her stomach. 

It was a major surgery that posed significant risks for the mum-of-three. 

In the days following her surgery, she was suffering excruciating pain - and questioning her decision. 

"Have I mutilated my body? Why am I here in Turkey... removing 80 percent of my stomach?" 

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However, she soon started to see the changes she had hoped for. 

"I was losing weight in the first week - it was like, 4 to 7kgs. I could physically see a change in my body," she told The Hui. 

In the past year, Ngāmotu has lost a total of 52kg, or almost half her body weight. 

"I used to look in that mirror and feel really miserable," she said. "And now I just look at myself and I just can't believe what I'm seeing." 

Ngāmotu also credits the surgery for her newfound lifestyle, including her dedication to diet and exercise. 

She's in the gym every day - running, lifting weights, and putting her body through intense training. 

"It is a huge sense of accomplishment," Ngāmotu said. "I'm trying to be a healthier version of myself." 

Ngāmotu's seen several health benefits so far: she's no longer pre-diabetic, her thyroid issues have improved, and she no longer snores. 

There have also been some not-so-positive side effects, including dumping syndrome - where she vomited her stomach lining - and some hair loss over several months. 

However, the biggest transformation has been her relationship with food, she said. 

"It wasn't a good relationship. I never thought of food as a good source of fuel," Ngāmotu said. "It was always, 'if you eat that, you're going to get big'." 

Ngāmotu has been sharing her weight loss story on social media, with about 30 other people encouraged to undergo surgery after following her journey online. 

"Twenty years ago, it might have been a shameful choice to do - but society is evolving," she said. 

However, cost is still a major barrier to having weight loss surgery. The price tag for a gastric sleeve in Aotearoa is more than $20,000. 

"Even if it was half the price, it might encourage more people to do it here on their own soil," Ngāmotu said. 

Dr Ryan Paul is an endocrinologist - a specialist in diabetes healthcare. 

"We've had far more hospital admissions, far more deaths from obesity and diabetes yet we're not talking about it," Dr Paul said. 

"Over half of our people in hospital now are there with obesity, diabetes or related complications." 

He believes looking into public funding for weight loss medications could be a solution to tackling our obesity epidemic. 

"We haven't really discussed medications for obesity and diabetes, which will add years to people's lives." 

In recent years, Ozempic has hit the headlines overseas. 

"Ozempic is a medication for diabetes," Dr Paul explained. "It's registered, but we haven't had any come into Aotearoa yet." 

Dr Paul said people may have heard of celebrities like Elon Musk and Oprah Winfrey taking these medications for weight loss instead of its primary purpose. 

"As far as I'm aware, they don't have diabetes. They're using it for weight loss alone." 

There are legal weight loss drugs available in Aotearoa, but they're not publicly funded. 

"There are tablets, such as Duromine, Contrave. We've also got injections for weight loss such as Saxenda," Dr Paul said. "You're looking at approximately $480 a month." 

Ngāmotu has tried Duromine. 

"I was really irritable. I couldn't sleep properly. My anxiety levels would be out the roof," she said. "I gained the weight back pretty quick." 

Ngāmotu believes the influence of celebrities is part of the problem. 

"Maybe some people have amazing results like the 'Ozempics'. I know it's really hugely popular and it can work, but I don't know for how long." 

Dr Paul said he's had patients who have gone overseas to buy medication like Ozempic. 

"I know that some people have been accessing mimics of Ozempic online. I can probably at least guarantee 99 percent of that medication is not Ozempic," he warned. 

"Potentially [you] may be causing yourself harm and not getting any benefit at all." 

Ngāmotu, however, is happy with the path she's taken. 

"I still shock myself at the person I am today and how I live my life," she said. 

"I only dreamed to be like the person I am today." 

90 Day Fianc: Is Tiffany Franco Too Thin? (She's Slimmer Than Ever After Weight Loss)

• Tiffany Franco underwent gastric sleeve surgery, losing 91 pounds and transforming her physique.
• Her weight loss journey boosted her confidence, leading to a more assertive and self-assured persona.
• Despite hitting a plateau, Tiffany remains determined to reach her weight loss goal and continues to prioritize her mental and physical health.

Tiffany Franco has significantly changed her body since her appearance on 90 Day: The Single Life in 2022. As a single mother, she was thrilled when she met Ronald Smith from South Africa a few years ago. Believing he would be a perfect partner, she married him on 90 Day Fiancé: The Other Way season 1 . However, Tiffany quickly discovered that Ronald was irresponsible and not prepared to start a family or be the man of the house.

As Tiffany and Ronald spent more time together, they realized they didn't have compatible futures. This led to their breakup, after which Ronald quickly moved on with another woman. Tiffany was heartbroken by her failed marriage , but she didn't let Ronald's actions stop her from focusing on herself and appearing on 90 Day: The Single Life season 3 in search of love. Over the last two years, Tiffany lost significant weight, underwent a complete personality transformation , found success in her business, and finalized her divorce from Ronald.

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When Did Tiffany Undergo Weight Loss Surgery

Before undergoing gastric sleeve surgery, tiffany was almost 300 pounds.

Tiffany felt she was obese when she first appeared on the 90 Day Fiancé spin-off. The responsibility of being a single mother and her busy work schedule kept her busy . While she always looked beautiful and had amazing makeup skills, she was clearly not confident. She had various insecurities that stopped her from expressing herself. Tiffany's lack of confidence also played a big role in her marriage with Ronald , as he manipulated her for a long time. He made her think she could never find a man as good as him.

Ronald started pursuing other women in 2021. It was around the same time that Tiffany began focusing on her health and getting into the best shape of her life. She kicked off her fitness journey by losing some weight naturally. She later consulted a surgeon and decided to undergo gastric sleeve surgery to speed up her weight loss progress. Tiffany underwent the procedure in June 2021 . She started seeing results from the first week and continued to do so for months. Fans were stunned to see Tiffany look unrecognizable when she returned to TV in 2022.

How Much Weight Has Tiffany Lost Since The Surgery

Tiffany has hit a plateau after losing 91 pounds.

Tiffany began to see results within a few days after her weight loss surgery. In the first few weeks, she dropped 43 pounds, which boosted her confidence. She continued to follow a diet that made her feel more rejuvenated. In March 2022, Tiffany surprised her followers with another weight loss update. She revealed that she had shed 70 pounds and appeared very satisfied with her transformed physique. Over the next 15 months, her progress continued to improve. Tiffany lost 91 pounds, coming closer to her desired body weight of 190 pounds.

In March 2024, Tiffany shared her latest weight loss update with fans. She did a Q&A session on Instagram and opened up about her progress. Tiffany said, "nothing exciting, it's kinda just been the same." Tiffany seemed happy but admitted that she had hit a plateau. She added, "it doesn't really fluctuate too much, I lost 4 pounds which is a big change for like the past year." The 90 Day Fiancé franchise star admitted that she's still looking forward to achieving her weight loss goal, stating that she'll get there eventually.

90 Day Fianc: Tiffany Franco's New Slim Face After Extraordinary Weight Loss Milestone In 2024 (Recent Transformation In Photos)

Tiffany Franco dropped 91 pounds after weight loss surgery. Many 90 Day Fianc viewers believe she is glowing due to being in a loving relationship.

Tiffany's Face Has Lost Volume After Shedding Weight

Tiffany reveals her sharp jawline in a close-up selfie.

Tiffany is so close to hitting her weight loss goal. She only has 19 more pounds to reach her ideal body weight. In the meantime, she's feeling more confident and is starting to flaunt her outer beauty on social media. In August 2023, Tiffany shared a cute photo of herself wearing a crop top and a pink jacket. Her soft makeup highlighted her chiseled jawline and Barbie-like facial features . Tiffany has always been a natural beauty, but her weight loss journey has really helped her shine even more. Now, she's having fun playing around with different looks.

Tiffany Looks Almost Unrecognizable In Full-Body Weight Loss Picture

Tiffany is no longer shy about sharing her full-body pictures.

Tiffany is no longer shy about showing her full body on Instagram. She likes to post long shots online, showing fans her weight loss progress and her cute outfits.

In May 2024, Tiffany posted a cute snap promoting her makeup brand, Addy Rose Cosmetics. She wore an off-shoulder top and paired it with a stretchable skirt. Tiffany looked incredibly toned and happy in her new picture. She also seemed much at ease, enjoying her single life while focusing on her business. Tiffany is more lean than she has ever been in her adult life .

Is Tiffany Looking Too Skinny In Her Black Bodycon?

Tiffany is in great physical shape despite the massive weight loss.

Tiffany has lost more than just weight. She has shed a lot of volume, which makes her look thinner than before.

In June 2024, Tiffany posted a photo pouting like a professional model. She wore a bodycon outfit, accentuating her toned shoulders and highlighting her slim waist. An Instagram user praised Tiffany's physique, commenting, "this girl is on fire." Another commented, "how beautiful can this woman get!" Despite losing a significant amount of weight rapidly, Tiffany doesn't appear to be unhealthily skinny. She still has healthy fat in the right places, and her cheeks don't look sunken at all.

Did Extreme Weight Loss Affect Tiffany's Mental Health?

Tiffany's weight loss journey has hit a speed bump.

Tiffany has faced many challenges in her life, from teenage pregnancy to a toxic marriage with Ronald. Despite encountering various obstacles, she has persisted. Unfortunately, Tiffany has now hit a plateau after losing 91 pounds. Although she's currently feeling stuck, she's determined to achieve her goals . Tiffany seems satisfied with her fitness journey, and her physical transformation hasn't impacted her mental health. In fact, Tiffany appears stronger than ever in 2024. The former 90 Day: The Single Life star is busy prioritizing herself, her children, and her business.

90 Day Fianc: Happily Ever After? season 8 airs Sundays at 8 p.m. EDT on TLC.

Source: 90 Day Fiancé /YouTube, Tiffany Franco /Instagram, Tiffany Franco /Instagram, Tiffany Franco /Instagram, Tiffany Franco /Instagram

90 Day: The Single Life

Cast Debbie Johnson, Big Ed Brown, Natalie Podiakova, Colt Johnson

Release Date February 21, 2021

Genres Reality-TV

Network TLC

Franchise(s) 90 Day Fianc

Main Genre Reality-TV

Rating TV-MA