Weight loss fluctuations after bariatric surgery

Bariatric surgery induces significant and long lasting weight loss by means of altering hormones that control total body fat. But weight loss is not straight in a smooth downward slope.

Weight fluctuations are common during weight loss journey.

  • You lose weight.
  • You stop for a while.
  • You gain sometimes.
  • Weight loss can stall upto 4 to 8 weeks sometimes.
  • Then you lose weight again.

Weight fluctuations after bariatric surgeries are generally because of

  • Change in diet.
  • Taking diet high in salt.
  • Weight training that leads to muscle tears (Body retains water to repair them).
  • High carbohydrate diet.
  • Eating outside foods high in sugar, fat and salt.
  • Lack of sleep.
  • Increased stress.
  • Irregular food timings.
  • Lack of physical activity.
  • Certain medications.
  • In females, before menstruation.

After bariatric surgeries

  • Don’t check your weight daily.
  • Check only once in a month on the day of your surgery and maintain a graph.
  • Measure your waist, hip, arm and thigh circumferences monthly.
  • Observe clothes becoming loose.

When you lose weight naturally with diet and exercise, your Basal Metabolic Rate (BMR) reduces and body tries to conserve fat.
In contrast, after bariatric surgery, because of the hormonal changes your basal metabolic rate and heat production increases, and fat melting increases. Still it is mandatory to follow healthy diet and do muscle strengthening exercises to increase weight loss and to prevent weight regain.

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Dr. AMAR VENNAPUSA
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Center,
Hyderabad, India
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