Fig. 1
Gastric sleeve
Home the same day, for most
Sayoda’s Gastric Sleeve Journey
Two hours of exercise every morning, and still nothing. Watch Sayoda’s video, then read her story.
Published November 5, 2026
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Sayoda’s story
Feeling truly supported, on every step of her weight-loss journey
No matter how committed you are to weight loss, whether that means going all-in on crash diets, seeking out advice from dieticians, or even buying exercise equipment like a treadmill, sometimes it takes an a-ha moment to really take that next important step.
“At one point, I was 396 pounds.”
“I worked out in the morning for two hours… and still nothing.”
Sayoda researched surgery on Google and YouTube and found 360 Sleeve. She felt supported by the team at every step.
“360 is basically family.”
“I love when people tell me I look good. Because I know I look good - before I never used to see it.”
Individual results vary. This is one patient’s experience, not a promise of yours: your surgeon talks you through what to expect at a free consultation.
What to know
The topic behind Sayoda’s journey, in general terms: what usually matters, what your surgeon looks at and questions worth asking.
In short
- On average, diet and exercise programs lead to modest weight loss. That is not a sign of doing it wrong.
- Exercise still matters: it helps your heart, strength, mood and sleep, whatever the scale says.
- Surgery is assessed with your whole health in mind, and support before and after is part of the plan.
Why effort does not always show on the scale
Canadian obesity guidelines describe obesity as a chronic disease, influenced by genes, hormones, medicines, sleep and stress, not only by food and activity. On average, diet and behaviour programs lead to a weight loss of a few percent of body weight. For someone at a high BMI, that may not be enough to change their health.
Exercise on its own usually leads to small weight loss, but it improves fitness, blood pressure, blood sugar and mood. It is worth keeping, with or without surgery.
Pain and mobility
Back or knee pain, getting out of breath, needing to sit down while shopping: these make activity harder and can keep the cycle going. Low-impact movement, such as walking in water, a stationary bike or chair exercises, can be a start. A physiotherapist can help you find what is safe for you.
How surgery is assessed
Your surgeon looks at your BMI, weight-related conditions, medicines and past surgeries. Before bariatric surgery, guidelines suggest checks such as screening for sleep apnea and blood tests. At a very high BMI, your team may suggest some weight loss before surgery, or discuss a different procedure.
Support around surgery
Recovery has physical and emotional sides. Check-ins from your nurse, guidance from your dietitian and people who understand what you are going through all help. At 360 Sleeve, six years of 360 Complete Care come with every sleeve, and 360 Community offers group sessions and walks.
Questions to ask
- Which tests do I need before surgery with my BMI and health?
- Is a sleeve the right procedure for me, or would another one fit better?
- How can I stay active now, with my pain or mobility?
- Who do I call after surgery if I am worried?
Sources
- Wharton S, et al. Obesity in adults: a clinical practice guideline. CMAJ. 2020;192(31):E875-E891.
- Boulé NG, Prud'homme D. Canadian Adult Obesity Clinical Practice Guidelines: Physical Activity in Obesity Management. Obesity Canada.
- Biertho L, Hong D, Gagner M. Canadian Adult Obesity Clinical Practice Guidelines: Bariatric Surgery: Surgical Options and Outcomes. Obesity Canada.
- Glazer S, Biertho L. Canadian Adult Obesity Clinical Practice Guidelines: Bariatric Surgery: Selection and Pre-operative Workup. Obesity Canada.
General information, not medical advice. Results and recovery differ from person to person; a surgeon assesses what applies to you at your consultation.
A question about your own situation?
Ask our team at a free consultation, in person in North York or online.
Read next
- BMI and who qualifies for weight-loss surgery in Canada How BMI is worked out, which BMI ranges Canadian and international guidelines use for weight-loss surgery, what changed in Ontario's public program in 2026, and why BMI is only a starting point.
- Is gastric sleeve surgery right for you? Who a gastric sleeve may suit, what being ready means beyond your BMI, what surgery can and cannot do, and how a free consultation helps you decide.
Your first step is a conversation
A free consultation, in person in North York or online. Meet the team, ask anything and leave with a clear plan and price.
(416) 360-7360 sleeve@clinic360.com 1131A Leslie St #300, Toronto, ON M3C 3L8