I think when the doctor told me that it would be a complete life change, I knew 'some' hard work would be involved.  I knew I would be changing what I was eating.  I didn't know it would bring about a whole new set of struggles, and this is definitely one of them.  I am such an obsessive eater, that it's a constant, sometimes, hour to hour mental battle for me.  I let up a bit lately, and have had to get back to basics, do what I know, and force myself because I can't do what some people can...have a treat and cut back later...that is a huge sabotage for me because of my personality.  Though we are each different, I suppose we are all in this boat because we ate too much of probably the wrong thing for too long.  With all that being said, I think we can never let up our guard.  The times that I have...have not been favorable for me.

I am totally with you on the treats. The holdiay party is killing me.

Stop worrying! 

Not because you are past it happening, but because you are aware and taking care of yourself.

There is no one -time for the  "bounce back" as it is referred to, but it happens because it is too easy to become complacent and neglect  our new tools to maintain our health.

Many other things can cause the same effect.. Some medications can cause significant weight gain...ie. steroids,... some anti-depressants, (those who desire weight loss and require medications for depression should request medications that are "weight- negative" or "weight- neutral"...prozac and zoloft are two, I can't think of a weigh positive one for contrast..off the top of my head), certain seizure medications will definitely add to weight gain, (Tegretol is known for this), hormonal imbalance can cause weight gain, and a slowing of the metabolism( often this is due to a sudden shifting of activity level...(like being unable to continue a level of exercise due to an injury) and an increased stress load will produce gain.

By paying attention to your  overall health, intake, exercise... you are pro-actively preventing what you fear... So, relax!.. and continue as you are!   you are aware of things that trigger weight gain, you can continue to be pro-active when life hands you lemons.:>)

This is a good question, as it applies to what happens to the level of malaborption over time.  I found one study, as it relates to long-limb RNY, which would not be applicable to the sleeve surgery.

http://ajcn.nutrition.org/content/92/4/704.full#aff-1

This study was interesting - very little post-op malabsorption for protein or carb, but fat malaabsorption is increased by RYN surgery.  So more fat calories are pooped out, but protein and carbs are almost fully absorbed. (That may be why people are so careful about carbs after surgery). That being said, this study was only based on 9 people (one died 30 days after surgery, so they were not included).  At 14 months (the length of the study) fat malabsorption had not dropped off.  There was no mention if the researchers thought it might.  Let me know if anyone gleans anything else from this study.

I have not found any data-based studies that address the villi becoming more aggressive in capturing calories.  I have seen it theorized, but I have not found any actual data to support those theories. 

You may have access to specialized data-bases that I do I have not.  If you find anything, let me know. 

I am interested to see if malabsorption really changes in the years or decades following surgery.  Either way, I'm sure we'll adjust as needed to maintain our health.