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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.)

Our stomach has the ability to stretch out as a result of food intake. Folds of tissue within the stomach expand and contract in response to food input. After a sleeve or plication weight loss surgery, stretching of the new pouch occurs naturally. This process happens until the pouch matures to its natural size. However, some patients may have overstretched out their pouch with or without observable symptoms. Band and bypass patients may have stretched out their pouch with and without observable symptoms because of two possible causes: either the band is too tight, or there is an underlying medical cause that needs to be evaluated. If you have reflux, regurgitation, or feel like you can tolerate larger meals or, on the contrary, can’t tolerate any solid foods at all, you will need to test the functionality of your pouch by doing the Pouch Reset. You may use the Pouch Reset to evaluate if a medical assessment is necessary and/or consider revision surgery. The Pouch Reset lasts only 7 days. Its objective is to prevent further stretching the pouch at each meal. It includes the supplements necessary and an e-book with diet details. https://www.vitaleph.com/products/pouch-reset.html Lucia Chavez, LNCA Chief Nutritionist nutritionist@obesitycontrolcenter.com 1-866-376-7849 ext. 86

Ok. Last week was pretty frustrating. I gained 4 ozs., went from 190.2 to 190.6 That was frustrating in itself because it meant that I not only gained 4 ozs, (it's not the amount I gained but the fact it went the WRONG way) but that I did not lose anything all week long, and believe me it felt loooooong. I was super constipated all last week and right up to yesterday *sigh* and OUCH!!!. Very! And I know it was the culprit that contributed to this set back. Still its hard getting over the psychological aspect of it. Not having lost anything all week, having adhered to everything exactly, and the distention of my stomach which omits my concentration on just feeling good about feeling thinner. Frustrating. I tried to get around that by just focusing on how I have lost 31 lbs. and that i'm sure this can't go on for long... grrr I called the OCC and received advice from Dr. M so here's to hoping that this week is better! I weighed in this morning, and I was at 189.2, so I have lot a pound this week so far, here's to hoping its a better week!