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So, I weighed in at 168 after weighing the morning of my flight at 169 so I am pretty sure that the starting weight is accurate with my home scale. When I got back, the next day I weighed 176--eight pounds more than my starting weight despite another week of clear fluids since my pre-op weigh-in. I emailed OCC with this concern but I have not heard back from them with any reasonable explanation. The only difference I can identify is that I did not take the blood pressure meds during 5 day post-op period and restarted once I returned home. The reason I did not take blood pressure meds is because my blood pressure was extremely low during the post op period, like 92/58. Not symptom-low but too low to add a medication. Has anyone else experienced this? I am now 166lbs and this 10 days after my post-op weight of 176. That it is somewhat disappointing because is only 16 lbs less than my starting weight after 6 weeks of fluids. Trend in the right direction however, and I will follow the program and be patient. I am trialing removing one of my three BP meds, have eliminated the water pill and am having acceptable blood pressure readings. I suspect that when my weight loss is complete, I might reduce the 2nd med. (Do not try this without your doctor's approval; I am a retired RN and having been managing my BP for many years.)