I think you've got some great insight here and I hope you find something that works for you. I know some that track calories and wouldn't try anything else and have been very successful and I know some that have been on WW and have also been successful. I would think it may be helpful for you to talk with your dietician that might also give you some greater insight as well. I'm nearing my 10-year surg-iversary and I recently chose WW and have been successful to continue weight loss. I liked the flexibility of WW for my life. I've lost 30 lbs on the purple plan and I'm continuing weight loss. Although, it has been slow about a pound a week or so has kept me motivated. I struggled with reactive hypoglycemia for 3.5 years and then 2 years of working through it with an endocrinologist. I'm on the right medication now to help me control it and I do carefully watch my carb intake and what type of carbs I do eat. I think the best diet will be the one you can work on confidently and something you can manage for the rest of your life for your health. Best wishes to you!

So sorry for what you've been through. The only thing I can comment on is the hair loss. I'm not surprised you didn't see any hair loss until a few months after chemo. As I understand it; while stress (chemo, surgery, illness, etc.) can cause hair to stop growing, the hair doesn't usually fall out until new hair is ready to grow in. So ironically, by the time you see the problem, the underlying cause has usually been resolved. For that reason, I don't think vitamins or anything else would help. If hair stylists are open in your area, perhaps you could go to one who is experienced in this area who could give you a cut that makes hair loss less noticeable. (And even if hair stylists aren't open in general, there may be an exemption for your situation. I seem to recall a similar exemption here in Ireland.)

I would talk to your medical team about throwing up after eating. It might not be caused by the sleeve, but having a smaller stomach could be exacerbating the problem. I'm guessing they could put you on a PPI or something to help with the nausea.

Sorry my response isn't more useful. I don't have any experience in this area, but I didn't want your post to go unanswered.

Hi Everyone...Im post Gastric Sleeve surgery 2 years. Last November I was diagnosed with a rare form of leukemia. Had Chemo in Dec and Immuno therapy Dec/Jan/Feb. I was official in remission on March 1st but now Im having issues like when I had my surgery 2 years ago. Massive Hair Loss (very scared on this as I had none during cancer treatment), throwing up after eating (like I did at the beginning after sleeve surgery)...things like I had at beginning of surgery. Has anyone had a similar experiences...wondering if this is normal or ????????????????

What are you eating? If you lost the weight and kept it off for nearly 4 years, sounds like it's what you're eating that's the issue, not your tool. If your tool (VSG) is working fine, then you may have developed bad habits you need to re-break. Eat 4 ounces of chicken only, and wait 20 minutes. Are you full? If so, then your tool is working fine...my guess you'll find it is. If you had some other sort of medical issue that revision would cure, that would be one thing. But to actually consider a second major surgery because you put on a couple of pounds seems extreme and drastic, IMHO.

Also, revision surgery won't change where fat deposits itself on your body. Don't have revision for cosmetic reasons, that's just silly. Many people have lipo or other plastic surgery after losing all their weight and keeping it off, plus your body settles over time after huge weight loss, so that may be what you're seeing with the "trouble areas."

With a working tool, it's just a matter of cleaning up your diet, eating protein forward, and getting rid of any nasty bad habits you've picked up. You're tool will always continue to do its job if you do yours. Good luck!

https://www.obesityhelp.com/forums/amos/6046502/5-year-surgi versary-thank-you-oh-friends/