Realistically, after getting the gastric sleeve, how many pounds will be dropped by 4 weeks post surgery?

Hello, Ideally a patient who had a gastric sleeve patients is from 20 to 30 pounds the first month. After that period you can expect 8 to 12 pounds per month

This can vary in different patients, some patients retain more fluids in the first couple of weeks after surgery, and how strictly they follow the pre-op diet, how soon they get moving again after surgery, and how well they are hydrating after surgery.  The number that is more important is reduction of body fat!