What is the quickest most effective way to loose weight. i had the gastric sleeve back in 2010 but i have about 50 to 60 lbs to loose i lost about 100 but need to loose more?

Resistance Exercise: Weight loss is the balance between calories in and your metabolism. Typically after bariatric surgery the calorie intake is restricted, so the next step is to increase metabolism. Remember, metabolism = lean muscle. To increase metabolism, increase lean muscle. Resistance exercise (weights, etc) are the best was of accomplishing this!

60-70% wt loss: Most patients with the sleeve will lose 70% of excess weight. Over 3-5 years most patients regain some weight, leaving you about 60% excess wt loss. If you were 150 lbs overweight, would expect to lose about 90 lb. Hence, you are on target with expected wt loss. Some patients really need more wt loss. The optimal second stage procedure for more wt loss is the gastric bypass.