Tirzepatide and Bariatric Surgery

[fyrepep]

Have any of y'all had bariatric surgery, had regain, and followed it up with some tirzepatide?

Typically, post bariatric patients are excluded from the studies, but it sounds like there has been success with tirzepatide usage post-bariatric. But the data is so limited...

 

[firefly96]

I had a VSG in 2013. Lost 154 lbs. Regained about 40 lbs over the last few years. About to take my 4th dose of Tirz and it’s working well for me so far. I have about 40 lbs to lose to get down to my absolute most amazing GW.

 

[clevesand]

I had VSG in 2010 and kept almost all the weight off for 9 years. I slowly gained 40 pounds the last 5 years and it dropped off very quickly with T. I am now only 4 pounds heavier than my lowest following surgery. I will say that T has completely "reset" my stomach. It feels like the early days post-surgery with food restriction. My only advice for you is to work really hard with caloric intact the first 4 months because, at least for me, the efficacy of T in decreasing appetite decreased substantially after 5 months regardless of how I titrated up on the dose.

 

[Nikki nik]

I had VSG in 2010 and kept almost all the weight off for 9 years. I slowly gained 40 pounds the last 5 years and it dropped off very quickly with T. I am now only 4 pounds heavier than my lowest following surgery. I will say that T has completely "reset" my stomach. It feels like the early days post-surgery with food restriction. My only advice for you is to work really hard with caloric intact the first 4 months because, at least for me, the efficacy of T in decreasing appetite decreased substantially after 5 months regardless of how I titrated up on the dose.

Thanks! I see some switching glps because of no longer being effective after months on tirz

 

[Dustycotton]

I had an RNY May 2000. Lost 140 lbs and stayed within the same 10lbs for about 8 years and then slowly started regaining. Eventually got back to, and surpassed starting weight by 30 lbs. I started tirz Dec 2023 and am now just over halfway to my 160 lb goal again. Total lost since starting is 67 lbs. I'm at 12.5mg split dose per week, and have been for 10 weeks. Just this past week I added 0.3mg cagrilintide.

 

[Dee X]

For those who had the surgery, what do you think of the effects of surgery vs the shots with your appetite? Which do you feel was better for you?