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Are you working with a dietitian? When you're actually underweight and struggling to gain weight, all the things you learned about losing weight go out the window. For example, if you're avoiding carbs, you need to stop. If you're watching your fat intake, that too needs to stop. As @ShoppGirl said, this does not mean you should eat junk, there are plenty of healthy carbs and fats you can add to your diet. Do a google search for things like "healthy calorie dense foods". You'll see nut butters and avocados, but also dried and fresh fruits, whole grain breads, potatoes (sweet and white), oatmeal, full fat dairy, pasta, etc...

I wanted to clarify something here: Bilirubin (the thing the OP asked about), is not a "liver enzyme", so elevation of just this would not at all be the same as what @kcuster83 mentioned. Elevation of ALT and AST especially, indicate potential liver damage. This is because these enzymes only are present in the liver. Bilirubin is not actually specifically related to the liver, though it's typically part of the "liver function test". The main purpose of bilirubin is to break down red blood cells and "recycle" them. Excess bilirubin is typically a sign that you are losing red blood cells faster than normal. That may or may not be a problem, but in the absence of elevated liver enzymes, does not by itself indicate a problem with your liver. As I mentioned, anemia is a much more common reason to see high bilirubin in the absence of other abnormal tests.

You know, I really think this might be a case of my brain interpreting my abdominal pain with hunger cramps. Even though it ‘feels’ like hunger, I have no interest in food or eating. When I imagine sitting down and actually putting a forkful of something in my mouth I feel vaguely repulsed. I also know from experience of intermittent fasting and VLCDs that I usually don’t feel hunger for at least a day or two - sometimes I’d feel a wave of hunger from time to time but it would pass. So it seems unlikely that what I’m experiencing now is hunger - it is a CONSTANT pain and it’s only been a little over 24 hours since my last meal!

Mine does it all the time. It’s doing it now. LOL! It’s like my own personal poltergeist rattling the chains. I spoke to my surgeon’s associate & she says it was just my digestive system doing what it’s supposed to do: digest food. It can rumble & squelch for a time after we eat because food digests at different rates. How noisy our system is now is probably just one of those idiosyncrasies that’s personal to us & that some experience & others don’t. Oh, and a rumbling, grumbling tummy in most cases is not a sign of you being hungry as we were always told.

I'm a bit confused. Did you have revision, sleeve to bypass? You're showing marked as a sleeve patient and I recall you saying in another post a few days ago that you don't take vitamins, you just rely on a healthy diet to get your vitamins, which isn't recommended for bypassers. So the two posts are sort of contradictory, junk food vs healthy diet for vitamins. And also sleeve on your profile and now you're saying you got bypass two years ago. Can you clarify the details for us please? Thanks!

In all seriousness, I think @kaylee50 has given you some great advice. Foremost, talk to your team. You may not "really" be hungry (It may be what we call "head hunger"), though it's possible. Either way, they should be able to help.

Yeah. I got my revision to bypass last week. So far, this has been easier than the sleeve, and I’m just exhausted, but nothing hurts. I had horrible GERD, so they corrected a large hernia and cut my prior sleeve even more, to make it look good (it was enlarged). After all, the surgeon said everything looked great, and I felt ok. I’m hungry, but I think this is more mental than anything. I need to lose around 50 pounds to meet my goal. I was around 20 pounds short with the sleeve, but I could not do it.

the pre-op diet was the worst part of the whole thing for me. i was actually relieved the morning they rolled me into the OR for surgery! You just have to white knuckle it - it'll be worth it in the end. It's been a few years for me, but the first few days were the worst - it did get better after awhile...

yes. Normal.

i have never heard of someone getting resleeve. Its always bypass. So they are just making the sleeve again? your stomach stretched?